Fresenius Medical Care SW Jackson Home, LLC

NPI #1396011458 in Jackson, Mississippi

Provider Information

NPI Number
1396011458
Entity Type
Organization
Organization Name
Fresenius Medical Care SW Jackson Home, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 22, 2012
Last Updated
Oct 18, 2023

Practice Location

Address
1421 N STATE ST STE 501
ZIP Code
39202-1641
Phone
(601) 292-1545

Authorized Official

Name
BARRY L. BLANTON
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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