| NPI | 1952540874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLY L THOMAS Manager, Clinical Services 573-449-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MO 26D0652375) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |