| NPI | 1609968254 |
|---|---|
| Doing Business As | DIALYSIS CENTER OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | TERRANCE E WILSON Chief Executive Officer 765-423-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IN 060050031) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |