| NPI | 1609142348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEDAY Owner 1469-647-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |