| NPI | 1790728079 |
|---|---|
| Other Name | ST. VINCENT END STAGE RENAL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JULIE CARPENTER Administrative Director 501-552-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2009-06-02 |