| NPI | 1194357459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FREMIN Owner 318-564-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |