| NPI | 1124228770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY WHITE Revenue Cycle Director 315-801-4429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-07-12 |