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Historic Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Forrest City, Arkansas
NPI 1457599722

Historic Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Historic Dialysis Llc practices in Forrest City, AR. The NPI Number for Historic Dialysis Llc is 1457599722 and holds a License No. (Arkansas).

The current practice location address for Historic Dialysis Llc is 1501 N Washington St, Forrest City, AR and can be reached out via phone at 870-494-4022 and via fax at 870-494-4769.

Location: 1501 N Washington St, Forrest City, AR, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457599722
Provider Name
Historic Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1501 N Washington St, Forrest City, AR, 37027-7569
Phone Number
870-494-4022
Fax Number
870-494-4769
Provider Enumeration Date
01/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 N Washington St
City
Forrest City
State
Arkansas
Zip
72335-2152
Phone Number
870-494-4022
Fax Number
870-494-4769
person
Provider Business Mailing Address Details
Address
1501 N Washington St
City
Forrest City
State
Arkansas
Zip
72335-2152
Phone Number
870-494-4022
Fax Number
870-494-4769
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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