Organization
DIALYSIS CARE CENTER TIPTON COUNTY LLC
Active
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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