| NPI | 1891137808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON WAITE Managing Member 410-458-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2014-08-08 |