NPI | 1194716068 |
---|---|
Doing Business As | CONWAY DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM STANLEY CEO 501-663-0490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2005-10-31 |
Last Update Date | 2010-12-03 |