| NPI | 1538429451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVA AGRA CEO 909-450-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |