| NPI | 1669566824 |
|---|---|
| Other Name | DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SUSAN HENDERSON Admin Special Projects 641-872-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 930027H) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-10 |