| NPI | 1114125945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A MENTZ CEO 574-273-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-10-05 |