Lifeline Dialysis LLC

NPI #1568184604 in Greenville, Texas

Provider Information

NPI Number
1568184604
Entity Type
Organization
Organization Name
Lifeline Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 15, 2022
Last Updated
Sep 15, 2022

Practice Location

Address
4309 RIDGECREST RD STE 100
State
Texas
ZIP Code
75402-6003
Phone
(903) 455-9911

Authorized Official

Name
BIJU KURIAKOSE, REGISTERED NURSE
Title
CHIEF OPERATING OFFICER
Phone
(903) 455-9911

Specialties & Taxonomy Codes

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

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