Drg Fayette, PLLC
Drg Fayette, PLLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayette, Mississippi. Medicare rates this dialysis facility 1 out of 5. Licensed in Mississippi.
- CMS rating
- 1 of 5
- Licensed in
- MS
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
1005 Main StFayette, MS 39069
Phone: (601) 488-1070
Fax: (601) 899-3343
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X (MS) |
|---|
Record details
| NPI number | 1649556721 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tunde Olutade — Owner · (601) 899-3340 |
| Other names | Diversified Renal Group Home Dialysis |
| NPI enumerated | November 2, 2011 |
| Last updated in NPPES | November 14, 2011 |
| Mailing address | 5903 Ridgewood Rd, Suite 340, Jackson, MS 39211-3700 |
Other providers in Fayette
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Drg Fayette PLLC
225 Community Drive Off Hwy 61, Fayette, MS 39069 · (601) 786-6676