| NPI | 1710212873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E ANGELO Administrator 985-845-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: LA applying for) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |