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Organization

OAK GROVE DIALYSIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHLOMO MUSHELL (MANAGER)
(917) 251-5131
Entity
Organization

Contact information

Practice address
307 N CASTLEMAN ST, OAK GROVE, LA 71263-8894
(917) 251-5131
Mailing address
307 N CASTLEMAN ST, OAK GROVE, LA 71263-8894

Taxonomy

Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary

Other

Enumeration date
01/18/2024
Last updated
01/18/2024
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