Organization
TOTAL RENAL CARE INC
Active
Other names
Norton Shores 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
955 SEMINOLE RD, NORTON SHORES, MI 49441-4341
(231) 780-0246
(231) 780-0261
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
—
1447590617
—
MI
Enumeration date
02/25/2013
Last updated
06/10/2024
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