| NPI | 1730102757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GILDERSLEEVE Chief Financial Officer 765-747-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IN 003425) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |