| NPI | 1447640917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE FICKLIN Administrator 501-217-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2022-05-31 |