KENTWOOD HOME DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Kentwood, LA. KENTWOOD HOME DIALYSIS NPI is 1306240684. The provider is registered as an organization entity type.
The provider's business location address is:
800 3RD ST
KENTWOOD, LA
ZIP 70444-746
Phone: (601) 833-4111
The provider's authorized official is James Bernard Hall .
The authorized official title is Owner and has the following contact phone number (601) 320-3922.
The CLIA number assigned to this NPI record is 19D2112207 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/15/2014 and was last updated on 3/17/2015.