Organization
RENAL CARE OF EUFAULA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LONG (PRESIDENT)
(727) 499-1059
Entity
Organization
Contact information
Practice address
820 W WASHINGTON ST, EUFAULA, AL 36027-1822
(727) 499-1059
(727) 287-6305
Mailing address
PO BOX 1685, PALM HARBOR, FL 34682-1685
(727) 499-1060
(727) 287-6305
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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