| NPI | 1871720763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIE CARNNER Owner 502-222-0101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |