NRA-HOLLYWOOD, SOUTH CAROLINA, LLC is an end-stage renal disease (esrd) treatment clinic center in Ravenel, SC. NRA-HOLLYWOOD, SOUTH CAROLINA, LLC NPI is 1356384069. The provider is registered as an organization entity type.
The provider Is Doing Business As Hollywood - Ravenel Dialysis Clinic.
The provider's business location address is:
5953 JACOBS POINT BLVD
RAVENEL, SC
ZIP 29470-643
Phone: (843) 571-4025
Fax: (843) 571-4015
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 42D1052012 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/17/2023.