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Organization

WHEELING RENAL CARE LLC

Active
Other names
Wheeling Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA LUCKI R.N. (ASSISTANT ADMINISTRATOR)
(304) 242-7770
Entity
Organization

Contact information

Practice address
500 MEDICAL PARK, STE 100, WHEELING, WV 26003-7600
(304) 242-7770
(304) 243-3216
Mailing address
500 MEDICAL PARK, STE 100, WHEELING, WV 26003-7600
(304) 242-7770
(304) 243-3216

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
00700489353
WV
05
2028504
OH
Enumeration date
06/21/2005
Last updated
08/22/2020
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