| NPI | 1124326517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A WHILES Facility Administrator 405-767-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-04-12 |