Organization
NNA OF LOUISIANA, LLC
Active
Organization
NNA OF LOUISIANA, LLC
Active
Other names
RCG ST. CHARLES PARISH
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
150 JAMES DR E, SAINT ROSE, LA 70087-4007
(504) 712-5454
Mailing address
150 JAMES DR E, SAINT ROSE, LA 70087-4007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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