| NPI | 1538436753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABIL GUIRGUIS Member 304-842-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: WV 261QE0700X) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |