| NPI | 1154077824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON VP, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |