Lakeland Home Program, LLC

NPI #1396267878 in Clinton, Mississippi

Provider Information

NPI Number
1396267878
Entity Type
Organization
Organization Name
Lakeland Home Program, 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
Jul 17, 2017
Last Updated
Oct 19, 2023

Practice Location

Address
105 JOHNSTON PL
ZIP Code
39056-5911
Phone
(601) 925-9296

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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