| NPI | 1831121060 |
|---|---|
| Other Name | RAI-MAIN STREET-NEWPORT NEWS |
| Entity Type | Organization |
| Authorized Contact | JON M SUNDOCK Vice President 615-507-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |