Organization
TOTAL RENAL CARE INC
Active
Other names
Danbury 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
111 OSBORNE ST, STE 211, DANBURY, CT 06810-6031
(203) 794-1938
(203) 796-0015
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
00321
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043317
—
CT
Enumeration date
05/14/2012
Last updated
12/18/2024
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