NPI 1043676802

Southwood Park Dialysis LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Prairieville, LA

Practice location

Address: 17123 Commerce Centre Dr, Prairieville, LA 70769-3481
Phone: (225) 877-2001
Fax: (225) 877-2002
Mailing address: 5200 Virginia Way L&c Dept, Brentwood, TN 37027-7569

Authorised official

Name: John D Winstel
Title: Chief Accounting Officer
Phone: (253) 733-4501

Registered specialties

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

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1043676802
Entity type: Organization
NPI issued: 11 Jan 2016
Record last updated: 14 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.