| NPI | 1437586641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLA MC MULLEN COO 307-287-7640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2016-05-17 |