| NPI | 1942350830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBARAYUDU KOPPERA Medical Director 740-401-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-04-30 |