| NPI | 1710910674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWANG OCH KIM President 419-627-0477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-13 |