| NPI | 1124155965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM MATNEY President/CEO 229-985-3420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: GA 035296) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-05-30 |