| NPI | 1558485052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G WAKLATSI Administrator 513-389-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis (Licence: OH 1617164) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |