| NPI | 1851621213 |
|---|---|
| Doing Business As | HOME DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | OSWALD LLANDEROSOS Owner/Member 405-329-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-11-02 |