| NPI | 1710075056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EDWARD EDGERTON Administrator 501-955-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AR MC2029) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |