| NPI | 1750427548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD GOLDAMMER President 618-407-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-12-10 |