| NPI | 1649089814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PACE ROMNEY Owner 208-705-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |