| NPI | 1639655616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN USMAN CEO 314-560-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-01-03 |