Total Renal Care INC
NPI #1558666107 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1558666107
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jan 12, 2011
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 917 S STATE ST
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2344
- Phone
- (618) 498-9532
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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