| NPI | 1902265994 | 
|---|---|
| Other Name | HOME DIALYSIS SOUTH | 
| Entity Type | Organization | 
| Authorized Contact | CATHY EGHIGIAN Sr Director Managed Care 314-273-0770  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 
| Enumeration Date | 2016-02-18 | 
| Last Update Date | 2025-04-11 |