| NPI | 1861496218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA D ALVEZ President Owner 304-748-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 0703DC) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2008-09-29 |