| NPI | 1558018655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DIPZINSKI Managing Director 888-543-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |