Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Omaha Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11425 W DODGE RD, OMAHA, NE 68154-2534
(531) 895-5254
(402) 364-4584
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
04/22/2025
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