Organization · Type 2 NPI

Lakeland Home Program, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brandon, MS

NPI number 1184146789 Active

Practice location

209 Mar Lyn Dr
Brandon, MS 39042-2483

Fax (601) 591-0350

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1184146789
Entity type: Organization (Type 2)
Issued: Jul 14, 2017
Last updated: Aug 28, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Fresenius Medical Care Dialysis SVC of Rankin County Brandon · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

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About NPI 1184146789

Lakeland Home Program, LLC's National Provider Identifier is 1184146789, issued on Jul 14, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brandon, MS. The record was last updated on Aug 28, 2026.