| NPI | 1902415359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE A DUPREE Managing Partner 317-777-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-02-26 |