Trc - Indiana LLC

NPI #1215990965 in Hammond, Indiana

Provider Information

NPI Number
1215990965
Entity Type
Organization
Organization Name
Trc - Indiana LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 11, 2006
Last Updated
Aug 31, 2023

Practice Location

Address
222 DOUGLAS ST
State
Indiana
ZIP Code
46320-1960
Phone
(219) 932-1199

Authorized Official

Name
SAMUEL T WEY
Title
SR DIRECTOR LICENSURE&CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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