| NPI | 1386070860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED O KRONFOL Owner/President 662-335-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |