| NPI | 1679568778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN L. ESPIRITU Director 304-720-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WV 43517) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-08-22 |