| NPI | 1437573995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITH J KUMAR Medical Director 208-743-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |