HISTORIC DIALYSIS LLC

NPI # 

Practice Address:

1501 N Washington St

Forrest City, AR, 72335-2152

Practice Phone:

870-494-4022

Practice Fax:

870-494-4769

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X