| NPI | 1700559275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF FERNANDEZ CFO 965-962-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-01-09 |