institution
North Gulfport Home Program, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gulfport, Mississippi
NPI 1801216684

North Gulfport Home Program, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Gulfport, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. North Gulfport Home Program, Llc practices in Gulfport, MS. The NPI Number for North Gulfport Home Program, Llc is 1801216684 and holds a License No. (Mississippi).

The current practice location address for North Gulfport Home Program, Llc is 3301 25Th Ave, Gulfport, MS and can be reached out via phone at 228-867-2637 and via fax at 228-867-2466.

Location: 3301 25Th Ave, Gulfport, MS, 39501-5910
institution
Provider Profile Details
NPI Number
1801216684
Provider Name
North Gulfport Home Program, Llc
Credential
Provider Entity Type
Organization
Address
3301 25Th Ave, Gulfport, MS, 39501-5910
Phone Number
228-867-2637
Fax Number
228-867-2466
Provider Enumeration Date
04/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3301 25Th Ave
City
State
Zip
39501-5910
Phone Number
228-867-2637
Fax Number
228-867-2466
person
Provider Business Mailing Address Details
Address
3301 25Th Ave
City
State
Zip
39501-5910
Phone Number
228-867-2637
Fax Number
228-867-2466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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