| NPI | 1902265994 |
|---|---|
| Other Name | HOME DIALYSIS SOUTH |
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director, Credentialing Operations 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 | 2016-02-18 |