| NPI | 1396807871 |
|---|---|
| Doing Business As | KIDNEY DISEASE AND DIALYSIS OF MAGNOLIA |
| Entity Type | Organization |
| Authorized Contact | DENNIS MICHAEL BLANKENSHIP President/CEO 870-773-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-01-24 |