Organization
TOTAL RENAL CARE INC
Active
Other names
Carolina Coast Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
25 HOSPITAL CENTER BLVD, SUITE 104A, HILTON HEAD, SC 29926-2735
(843) 342-7300
(843) 342-7311
Mailing address
5200 VIRGINIA WAY, L&C DEPTARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4230
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ERD-0200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RE0052
—
SC
Enumeration date
11/15/2011
Last updated
10/07/2015
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