| NPI | 1447968318 |
|---|---|
| Doing Business As | VILLAGE SQUARE |
| Entity Type | Organization |
| Authorized Contact | JODEAN BALDAUF Sr. Director, Business Operations 314-286-0812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |