| NPI | 1720095417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIFACE ATAKEKOR TUBIE President/ CEO 313-924-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: MI 4301072901) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |