| NPI | 1235673724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A O'CONNELL Vice President 937-239-1492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |