| NPI | 1497711386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LIECHTY Administrator 319-385-6728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-03-16 |