Organization
DIALYSIS CARE CENTER TROUP COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORUFU OLATUNJI ALAUSA M.D. (MEDICAL DIRECTOR)
(815) 741-6830
Entity
Organization
Contact information
Practice address
25 PATILLO RD, LAGRANGE, GA 30241-7826
(706) 880-6400
(706) 880-6450
Mailing address
PO BOX 428, LOCKPORT, IL 60441-6428
(815) 714-7170
(630) 672-4980
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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