INNOVATIVE DIALYSIS CENTERS OF LA GRANGE, LLC is an end-stage renal disease (esrd) treatment clinic center in Lagrange, GA. INNOVATIVE DIALYSIS CENTERS OF LA GRANGE, LLC NPI is 1730522343. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care La Grange Home.
The provider's business location address is:
1300 LAFAYETTE PKWY
SUITE D
LAGRANGE, GA
ZIP 30241-612
Phone: (706) 884-3765
Fax: (706) 884-5304
The provider's authorized official is Barry L. Blanton .
The authorized official title is Vp and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 11D2060347 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/12/2013 and was last updated on 10/23/2023.