| NPI | 1871596916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PALMER Executive Director 479-755-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-06-13 |