NPI | 1477027795 |
---|---|
Doing Business As | SPRINGDALE DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT STACY BOMSTAD Administrator/CEO 479-463-7000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2019-01-21 |
Last Update Date | 2019-01-21 |