| NPI | 1407737851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WEY VP Licensure And Certification 800-467-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |