FRESENIUS MEDICAL CARE LAKE CHARLES HOME LLC NPI 1144833872

NPI Information

FRESENIUS MEDICAL CARE LAKE CHARLES HOME, LLC is an end-stage renal disease (esrd) treatment clinic center in Lake Charles, LA. FRESENIUS MEDICAL CARE LAKE CHARLES HOME, LLC NPI is 1144833872. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Lake Charles Home.

The provider's business location address is:

330 CHAVANNE ST
LAKE CHARLES, LA
ZIP 70601-304
Phone: (337) 990-6100
Fax: (337) 990-6110

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 19D2191003 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2020 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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