| NPI | 1710943576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HEANEY Administrator 559-733-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: CA 240000798) |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies (Licence: CA FNP 18234) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2009-12-30 |