NPI | 1295352391 |
---|---|
Doing Business As | IDAHO KIDNEY CENTER HOME PROGRAM |
Entity Type | Organization |
Authorized Contact | BARRY L. BLANTON Vice President 781-699-9000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-10-20 |