Organization
TOTAL RENAL CARE, INC.
Active
Other names
Lakeville 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
20184 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 985-5438
(952) 469-9742
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
12/19/2024
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