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Wellbound Of Lafayette Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lafayette, Indiana
NPI 1972520997

Wellbound Of Lafayette Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Jose, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wellbound Of Lafayette Llc practices in Lafayette, IN. The NPI Number for Wellbound Of Lafayette Llc is 1972520997 and holds a License No. (Indiana).

The current practice location address for Wellbound Of Lafayette Llc is 2 Executive Dr, Lafayette, IN and can be reached out via phone at 765-446-1627 and via fax at 765-449-9475. You can also correspond with Wellbound Of Lafayette Llc through the mailing address at 300 SANTANA ROW, SAN JOSE, CA - 95128-2423 (mailing address contact number: 765-446-1627).

Location: 2 Executive Dr, Lafayette, IN, 95128-2423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972520997
Provider Name
Wellbound Of Lafayette Llc
Credential
Provider Entity Type
Organization
Address
2 Executive Dr, Lafayette, IN, 95128-2423
Phone Number
765-446-1627
Fax Number
765-449-9475
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200843920A 05 IN
institution
Provider Business Practice Location Address Details
Address
2 Executive Dr
City
Lafayette
State
Indiana
Zip
47905-4878
Phone Number
765-446-1627
Fax Number
765-449-9475
person
Provider Business Mailing Address Details
Address
300 Santana Row
City
San Jose
State
California
Zip
95128-2423
Phone Number
765-446-1627
Fax Number
650-625-6007
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.
(Indiana)
Definition
Definition to come...
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