| NPI | 1093845737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISSA WOOD COO/Cno 563-589-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: IA 230056H) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-10-17 |