Organization
RICHARDSON DIALYSIS, LLC
Active
Other names
Richardson Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY BRIGHT (ADMINISTRATOR)
(318) 323-8847
Entity
Organization
Contact information
Practice address
230 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-9801
(318) 728-9804
Mailing address
230 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-9801
(318) 728-9804
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505595
—
LA
Enumeration date
03/21/2007
Last updated
07/20/2008
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