| NPI | 1245082981 |
|---|---|
| Doing Business As | RENAL CENTER OF STORM LAKE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL T WEY VP, Licensure And Certification 615-341-6691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |