Organization
RELIANT RENAL CARE WEST FLINT LLC
Active
Parent organization
RELIANT RENAL CARE, INC
Other names
RRC West Flint
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANT RENAL CARE, INC
Authorized official
MARK FAWCETT (SENIOR VP AND TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
G4007 CORUNNA RD, FLINT, MI 48532
(610) 892-4700
Mailing address
G4007 CORUNNA RD, FLINT, MI 48532-4526
(610) 892-4700
(610) 892-9760
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
07/09/2018
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