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Lakeland Home Program, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Flowood, Mississippi
NPI 1497193023

Lakeland Home Program, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Flowood, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Lakeland Home Program, Llc practices in Flowood, MS. The NPI Number for Lakeland Home Program, Llc is 1497193023 and holds a License No. (Mississippi).

The current practice location address for Lakeland Home Program, Llc is 1010 Lakeland Square Ext Ste A, Flowood, MS and can be reached out via phone at 601-932-2124 and via fax at 601-932-2593.

Location: 1010 Lakeland Square Ext Ste A, Flowood, MS, 39232-7626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497193023
Provider Name
Lakeland Home Program, Llc
Credential
Provider Entity Type
Organization
Address
1010 Lakeland Square Ext Ste A, Flowood, MS, 39232-7626
Phone Number
601-932-2124
Fax Number
601-932-2593
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 Lakeland Square Ext Ste A
City
Flowood
State
Mississippi
Zip
39232-7626
Phone Number
601-932-2124
Fax Number
601-932-2593
person
Provider Business Mailing Address Details
Address
1010 Lakeland Square Ext Ste A
City
Flowood
State
Mississippi
Zip
39232-7626
Phone Number
601-932-2124
Fax Number
601-932-2593
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.
(Mississippi)
Definition
Definition to come...
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