| NPI | 1578224390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CARPENTER Assistant Secretary 937-296-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472R0900X Technician, Other, Renal Dialysis |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2023-04-05 |