Total Renal Care INC
NPI #1871848895 in Belleville, Illinois
Provider Information
- NPI Number
- 1871848895
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 16, 2012
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 1095 N GREEN MOUNT RD
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-3303
- Phone
- (618) 628-1108
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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