| NPI | 1598751257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT VAN WAGNER Director Of Dialysis 775-982-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NV 34710ESR-3) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2009-12-28 |