Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
902 S LEWIS ST, SUITE A, NEW IBERIA, LA 70560-6304
(337) 367-3995
Mailing address
301 ALCIDE DOMINIQUE DR, LAFAYETTE, LA 70506-1052
(337) 456-7400
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/05/2023
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