Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Oakwood Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
148 HECTOR AVENUE, GRETNA, LA 70056-2531
(504) 376-1603
(504) 376-2364
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PENDING
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458236
—
LA
Enumeration date
07/17/2006
Last updated
08/08/2023
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