| Provider Type: | Ambulatory Health Care Facilities |
| Provider Classification: | Clinic/Center |
| Provider Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Address: |
1136 Thorn Run Rd Ste J1 Moon Township, PA 15108-4301 |
| Phone: | (412) 269-2304 |
| Fax: | (412) 269-2840 |
| Authorized Official: | Hilger, James K |
| Authorized Official Position: | Chief Accounting Officer |
| Authorized Official Phone: | (253) 382-1919 |
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