Total Renal Care INC

NPI #1295920387 in Fairfield, Illinois

Provider Information

NPI Number
1295920387
Entity Type
Organization
Organization Name
Total Renal Care INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 11, 2007
Last Updated
May 14, 2024

Practice Location

Address
303 NW 11TH ST
Address 2
STE 1
ZIP Code
62837-1203
Phone
(618) 842-7204

Authorized Official

Name
SAMUEL T WEY
Title
VP 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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