| NPI | 1235456716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY D CHARLES Vice President 337-326-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |