| NPI | 1831919778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIMA PARSON-WRIGHT Authorized Official 445-223-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 2472R0900X Technician, Other, Renal Dialysis |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-17 |