Dialysis Clinic INC.
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Gretna, LA. Organization (NPI-2).
NPI number1265465645
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1265465645
- Entity type
- Organization (NPI-2)
- Legal business name
- Dialysis Clinic INC.
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 067 | LA | Yes |
Practice location
1010 Behrman HwyGretna, LA 70056-4566
Phone 504-391-9572 · Fax 504-391-0248
Mailing address
1010 Behrman HwyGretna, LA 70056-4566
Phone 504-391-9572 · Fax 504-391-0248
Authorized official
Donovan Schultz
President
6153273061
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Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Gretna, LA
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