# OAK GROVE DIALYSIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962263830
- **Authorized official:** SHLOMO MUSHELL (MANAGER)
- **Authorized official phone:** (917) 251-5131

## Contact information

- **Practice address:** 307 N CASTLEMAN ST, OAK GROVE, LA 71263-8894
- **Practice address phone:** (917) 251-5131
- **Mailing address:** 307 N CASTLEMAN ST, OAK GROVE, LA 71263-8894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/18/2024
- **Last updated:** 01/18/2024