| NPI | 1275893315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE M PENSE Managing Partner 260-402-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |