| NPI | 1225008543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P PRYOR Administrator 573-729-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MO 25234) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2010-02-22 |