| NPI | 1972442473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILES DAVIS Authorized Official 800-975-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-31 |