| NPI | 1700400462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DANIEL DIPZINSKI Owner 888-543-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-12-04 |