Usrc Valdosta Home Program LLC

NPI #1760819601 in Valdosta, Georgia

Provider Information

NPI Number: 1760819601
Entity Type: Organization
Organization Name: Usrc Valdosta Home Program LLC
Subpart: Yes (part of a larger organization)
Parent Organization: US RENAL CARE, INC.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Oct 10, 2013
Last Updated: Jun 2, 2014

Practice Location

Address: 3564 N CROSSING CIR
City: Valdosta
State: Georgia
ZIP Code: 31602-6412
Phone: (229) 671-4298

Authorized Official

Name: THOMAS L WEINBERG
Title: SENIOR VICE-PRESIDENT GEN COUNSEL
Phone: (214) 736-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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