NPI | 1790530525 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA DIPZINSKI CEO 269-220-0390 |
Organization Subpart ? | No |
Primary Taxonomy | 163WD1100X Registered Nurse, Dialysis, Peritoneal |
Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis |
2472R0900X Technician, Other, Renal Dialysis | |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-04-23 |