| NPI | 1487037206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA-ANN SOUZA Director Of Operations 808-856-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: WA 1060527) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |