Organization
TOTAL RENAL CARE INC
Active
Other names
Deer Creek Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
602 S ATWOOD RD STE 106, BEL AIR, MD 21014-4198
(410) 838-4613
(410) 838-4924
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421376900
—
MD
Enumeration date
11/14/2011
Last updated
08/10/2023
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