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Goliad Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sacramento, California
NPI 1427322411

Goliad Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Goliad Dialysis Llc practices in Sacramento, CA. The NPI Number for Goliad Dialysis Llc is 1427322411 and holds a License No. 550002055 (California).

The current practice location address for Goliad Dialysis Llc is 251 Lathrop Way, Sacramento, CA and can be reached out via phone at 916-922-4721 and via fax at 916-922-2189. You can also correspond with Goliad Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-238-3085).

Location: 251 Lathrop Way, Sacramento, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427322411
Provider Name
Goliad Dialysis Llc
Credential
Provider Entity Type
Organization
Address
251 Lathrop Way, Sacramento, CA, 37027-7569
Phone Number
916-922-4721
Fax Number
916-922-2189
Provider Enumeration Date
03/08/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1427322411 05 CA
institution
Provider Business Practice Location Address Details
Address
251 Lathrop Way
City
Sacramento
State
California
Zip
95815-4223
Phone Number
916-922-4721
Fax Number
916-922-2189
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
Brentwood
State
Tennessee
Zip
37027-7569
Phone Number
615-238-3085
Fax Number
800-268-9682
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
550002055 (California)
Definition
Definition to come...
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