NPI | 1912900044 |
---|---|
Doing Business As | POTEAU DIALYSIS CENTER |
Entity Type | Organization |
Authorized Contact | LAURA PALMER Executive Director 479-755-6700 |
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 |