| NPI | 1881422871 |
|---|---|
| Other Name | AUTUMN LAKE AT RUXTON NEPH |
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Billing Manager 410-870-9380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |