| NPI | 1104842194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN SCHULTZ President 615-327-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NY 3301213R) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-10-04 |