Organization
TOTAL RENAL CARE INC
Active
Other names
Fleur de Lis Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5555 BULLARD AVE STE 110, NEW ORLEANS, LA 70128-3450
(504) 240-2696
(504) 240-2877
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
186
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1321753
—
LA
Enumeration date
03/18/2006
Last updated
12/19/2023
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