Organization
RELIANT RENAL CARE KENNER HOME CHOICE, LLC
Active
Organization
RELIANT RENAL CARE KENNER HOME CHOICE, LLC
Active
Parent organization
RELIANT RENAL CARE, INC
Other names
Reliant Renal Care Kenner
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANT RENAL CARE, INC
Authorized official
BARBARA BEDNAR (CEO)
(610) 892-4700
Entity
Organization
Contact information
Practice address
3409 WILLIAMS BLVD, KENNER, LA 70065-3700
(610) 892-4700
(610) 892-9760
Mailing address
1400 N PROVIDENCE RD, BUILDING 2 SUITE 1040, MEDIA, PA 19063-2043
(610) 892-4700
(610) 892-9760
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
—
2398121
—
LA
Enumeration date
05/02/2013
Last updated
09/15/2015
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