Trc - Indiana, LLC

NPI #1457314171 in Valparaiso, Indiana

Provider Information

NPI Number
1457314171
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
Sep 1, 2023

Practice Location

Address
606 LINCOLNWAY
State
Indiana
ZIP Code
46383-5728
Phone
(219) 531-1299

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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