| NPI | 1720347883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHOWEN Regional Vice President 734-207-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MI 1861475451) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |