| NPI | 1942206230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEASON LEGG Billing Manager 330-649-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: OH 0667DC) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |