| NPI | 1245085836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ANNE BRADY Cno 208-371-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |