Southeastern Renal Dialysis L.c.

NPI #1659337541 in West Burlington, Iowa

Provider Information

NPI Number
1659337541
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
Apr 21, 2006
Last Updated
Mar 16, 2012

Practice Location

Address
1213 S GEAR AVE
State
Iowa
ZIP Code
52655-1679
Phone
(319) 758-0691

Authorized Official

Name
MRS. MARY LIECHTY
Title
ADMINISTRATOR
Phone
(319) 385-6728

Specialties & Taxonomy Codes

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

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