Organization
J E T NEW ORLEANS EAST DIALYSIS LLC
Active
Other names
Fleur de Lis Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (SR VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
5555 BULLARD AVE, STE 110, NEW ORLEANS, LA 70128-3457
(615) 320-4218
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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