Total Renal Care INC
NPI #1396074597 in Lake Saint Louis, Missouri
Provider Information
- NPI Number
- 1396074597
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 17, 2009
- Last Updated
- Mar 21, 2024
Practice Location
- Address
- 200 BREVCO PLZ
- Address 2
- STE 202
- City
- Lake Saint Louis
- State
- Missouri
- ZIP Code
- 63367-2950
- Phone
- (636) 625-4460
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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