Organization
RENAL LIFE LINK INC
Active
Other names
Baton Rouge Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
3888 NORTH BLVD, STE 101, BATON ROUGE, LA 70806-3824
(225) 388-9045
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
152
LA
Other
Enumeration date
06/05/2006
Last updated
07/10/2007
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