Southwood Park Dialysis LLC
NPI #1043676802 in Prairieville, Louisiana
Provider Information
- NPI Number
- 1043676802
- Entity Type
- Organization
- Organization Name
- Southwood Park Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 11, 2016
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 17123 COMMERCE CENTRE DR
- City
- Prairieville
- State
- Louisiana
- ZIP Code
- 70769-3481
- Phone
- (225) 877-2001
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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