| NPI | 1174833057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HODSON JEAN CEO 801-867-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: UT 2010216) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |