| NPI | 1649556721 |
|---|---|
| Doing Business As | DIVERSIFIED RENAL GROUP HOME DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TUNDE OLUTADE Owner 601-899-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-14 |