| NPI | 1457891178 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SARA ANNE BRADY Chief Nursing Officer 208-371-7878  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 
| Enumeration Date | 2017-02-28 | 
| Last Update Date | 2023-01-11 |