| NPI | 1619473352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN K. ELLIS CEO/Owner 478-353-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-11-08 |