| NPI | 1982242954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE A NEMECEK COO 216-658-0458 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |