| NPI | 1679844021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN WILLIAMS Administrator 417-358-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-05-16 |