NPI | 1659355725 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE RIGDON Chief Financial Officer 904-953-0577 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: FL 103502) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2025-08-15 |