Historic Dialysis Llc

NPI 1457599722 - Clinic/Center - 261QE0700X

NPI Details
NPI 1457599722
Enumeration Date 01/26/2009
Last Updated 10/29/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAMES K JAMES
Position VICE PRESIDENT
Phone (870) 494-4022
Fax (870) 494-4769
Practice Location
1501 N WASHINGTON ST
FORREST CITY AR, 72335-2152, US
Phone (870) 494-4022
Fax (870) 494-4769
Business Location
5200 VIRGINIA WAY
L&C DEPT 4TH FLOOR
BRENTWOOD TN, 37027-7569, US
Phone (615) 320-4521
Fax (866) 594-2894
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
Remove 1457599722 NPI Number
 

According to our database, Historic Dialysis Llc NPI is 1457599722, taxonomy code is 261QE0700X Historic Dialysis Llc physically located at 1501 N Washington St, Forrest City AR, 72335-2152. NPI Number 1033115704 has the healthcare provider type.

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1457599722 NPI number is provided on an as is basis without warranty of any kind. 1457599722 is maintained by the National Plan & Provider Enumeration System. The contents of Historic Dialysis Llc are for informational purposes only.