| NPI | 1497443816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYBIN SIMFUKWE Member 806-771-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |