Total Renal Care INC
NPI #1306024294 in Bentonville, Arkansas
Provider Information
- NPI Number
- 1306024294
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Jan 9, 2025
Practice Location
- Address
- 1104 SE 30TH ST
- City
- Bentonville
- State
- Arkansas
- ZIP Code
- 72712-4290
- Phone
- (479) 657-6220
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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