| NPI | 1417143710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED RABADI Owner/Manager 701-775-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2014-06-23 |