| NPI | 1144427741 |
|---|---|
| Doing Business As | MAGNOLIA WEST AT HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Senior L&C Administrator 615-341-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2013-12-27 |