Organization
DIALYSIS CLINIC INC.
Active
Other names
DCI Lake Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ II (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
3797 OSAGE BEACH PKWY STE B4, OSAGE BEACH, MO 65065-2186
(573) 302-0375
(573) 302-0383
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(615) 342-0552
(615) 341-9261
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
08/21/2023
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