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Liberty Dialysis - Duneland Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in La Porte, Indiana
NPI 1578598249

Liberty Dialysis - Duneland Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Nashville, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Liberty Dialysis - Duneland Llc practices in La Porte, IN. The NPI Number for Liberty Dialysis - Duneland Llc is 1578598249 and holds a License No. (Indiana).

The current practice location address for Liberty Dialysis - Duneland Llc is 103 W 18Th St, La Porte, IN and can be reached out via phone at 219-326-6362 and via fax at 219-326-6393.

Location: 103 W 18Th St, La Porte, IN, 37219-2301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578598249
Provider Name
Liberty Dialysis - Duneland Llc
Credential
Provider Entity Type
Organization
Address
103 W 18Th St, La Porte, IN, 37219-2301
Phone Number
219-326-6362
Fax Number
219-326-6393
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200834980B 05 IN
institution
Provider Business Practice Location Address Details
Address
103 W 18Th St
City
La Porte
State
Indiana
Zip
46350-6631
Phone Number
219-326-6362
Fax Number
219-326-6393
person
Provider Business Mailing Address Details
Address
103 W 18Th St
City
La Porte
State
Indiana
Zip
46350-6631
Phone Number
219-326-6362
Fax Number
219-326-6393
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.
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Definition
Definition to come...
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