Organization
RENAL TREATMENT CENTERS NORTHEAST INC
Active
Other names
Wilmington Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
700 W LEA BLVD, G-2, WILMINGTON, DE 19802-2541
(302) 762-8585
(302) 762-8586
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000469434
—
DE
Enumeration date
02/28/2006
Last updated
06/10/2008
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