Southeastern Renal Dialysis L.c.
NPI #1144490178 in Fairfield, Iowa
Provider Information
- NPI Number
- 1144490178
- Entity Type
- Organization
- Organization Name
- Southeastern Renal Dialysis L.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHEASTERN RENAL DIALYSIS L.C.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 5, 2008
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MRS. MARY LIECHTY
- Title
- ADMINISTRATOR
- Phone
- (319) 385-6728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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