| NPI | 1902159684 |
|---|---|
| Doing Business As | CORVA GULF COAST DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY SIMONSEN CEO 720-402-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2016-07-26 |