| NPI | 1851352991 |
|---|---|
| Doing Business As | NEA CLINIC DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY HAYNES Director Central Billing Office 870-934-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: AR MC-2122) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-08-28 |