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Organization

DIALYSIS CARE CENTER TIPTON COUNTY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORUFU ALAUSA MD (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization

Contact information

Practice address
1921 HIGHWAY 51 S, UNIT F, COVINGTON, TN 38019-3659
(901) 313-9030
(901) 313-9398
Mailing address
PO BOX 3134, JOLIET, IL 60434-3134
(815) 741-6830

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
07/22/2016
Last updated
10/01/2018
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