| NPI | 1659522076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A WILLIAMS Administrator 417-334-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2009-06-09 |