| NPI | 1225792997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME S TANNENBAUM CEO/President 855-754-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |