| NPI | 1477635191 |
|---|---|
| Doing Business As | COMMUNITY DIALYSIS HOME PROGRAM CAPD |
| Entity Type | Organization |
| Authorized Contact | CRAIG ALLEN WAGONER CEO 559-324-4266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 040000096) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-08-21 |