| NPI | 1396587960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DIPZINSKI CEO 810-223-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-09-16 |