| NPI | 1669297149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VALVANO Administrator 989-295-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |