D'IBERVILLE HOME PROGRAM, LLC is an end-stage renal disease (esrd) treatment clinic center in Biloxi, MS. D'IBERVILLE HOME PROGRAM, LLC NPI is 1659767150. The provider is registered as an organization entity type.
The provider Is Doing Business As D'iberville Home Program.
The provider's business location address is:
14215 COOK RD
BILOXI, MS
ZIP 39532-719
Phone: (228) 872-0516
Fax: (228) 872-8322
The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 25D2094916 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/10/2015 and was last updated on 10/19/2023.