institution
Nra-roanoke, Alabama, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Roanoke, Alabama
NPI 1861483281

Nra-roanoke, Alabama, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Roanoke, AL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra-roanoke, Alabama, Llc practices in Roanoke, AL. The NPI Number for Nra-roanoke, Alabama, Llc is 1861483281 and holds a License No. 10801 (Alabama).

The current practice location address for Nra-roanoke, Alabama, Llc is 4459 Highway 431, Roanoke, AL and can be reached out via phone at 334-863-8365 and via fax at 334-863-8364.

Location: 4459 Highway 431, Roanoke, AL, 36274-2603
institution
Provider Profile Details
NPI Number
1861483281
Provider Name
Nra-roanoke, Alabama, Llc
Credential
Provider Entity Type
Organization
Address
4459 Highway 431, Roanoke, AL, 36274-2603
Phone Number
334-863-8365
Fax Number
334-863-8364
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01D1007307 01 AL CLIA
DIA2607D 05 AL
institution
Provider Business Practice Location Address Details
Address
4459 Highway 431
City
State
Zip
36274-2603
Phone Number
334-863-8365
Fax Number
334-863-8364
person
Provider Business Mailing Address Details
Address
4459 Highway 431
City
State
Zip
36274-2603
Phone Number
334-863-8365
Fax Number
334-863-8364
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
10801 (Alabama)
Definition
Definition to come...
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