| NPI | 1619274735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES C EJIOFOR Physician 501-603-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-07-21 |