| NPI | 1851392898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHARP Sr VP 567-585-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 362323) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-12-22 |