Organization
NRA-DALEVILLE, INDIANA, LLC
Active
Organization
NRA-DALEVILLE, INDIANA, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Daleville Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
2220 E 59TH ST, ANDERSON, IN 46013-3086
(765) 378-1735
(765) 378-1744
Mailing address
5851 LEGACY CIR STE 900, PLANO, TX 75024-5982
(214) 736-2700
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
01
—
15D1056570
CLIA WAIVER
IN
05
—
200881690A
—
IN
Enumeration date
12/06/2006
Last updated
11/30/2018
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