| NPI | 1114434230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SMITH Director 610-495-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-14 |