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Organization

RENAL TREATMENT CENTERS - SOUTHEAST, LP

Active
Other names
Renal Treatment Centers - New Orleans
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization

Contact information

Practice address
4528 FRERET ST, NEW ORLEANS, LA 70115-6317
(504) 897-5557
(504) 897-2585
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4218
(303) 209-7825

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
105
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1385417
LA
Enumeration date
03/18/2006
Last updated
08/22/2020
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