Organization
CENLA DIALYSIS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADAM HIRACHAN MD (MEMBER)
(646) 641-5614
Entity
Organization
Contact information
Practice address
1430 W ELM ST, JENA, LA 71342-4800
(318) 704-0001
Mailing address
2220 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 704-0001
(318) 704-0002
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
06/17/2021
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