| NPI | 1285109041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN WILLIAMS Administrator 417-334-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-09-01 |