| NPI | 1639150907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME NICOLE HANSEN Controller 937-499-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-08-29 |