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Organization

RENAL LIFE LINK INC

Active
Other names
River Parishes Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
2880 W AIRLINE HWY, LA PLACE, LA 70068-2922
(985) 603-7160
(985) 603-7161
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1505650
LA
Enumeration date
09/01/2006
Last updated
05/13/2026
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