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Organization

RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Active
Other names
Slidell Kidney Care
Organization subpart
No

Provider details

NPI number
Authorized official
SAMEL WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
662 ROBERT BLVD, SLIDELL, LA 70458-1648
(985) 649-5197
(985) 649-5218
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
077
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00220825
MS
05
1543268
LA
Enumeration date
03/18/2006
Last updated
08/10/2023
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