| NPI | 1144313255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALTON HUBER CFO 307-688-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WY 06-210) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-11-20 |