| NPI | 1952819419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUFID A OTHMAN CEO 478-254-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2022-12-09 |