Organization
TOTAL RENAL CARE INC
Active
Other names
Casa St Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
35 CASA ST STE 110, SAN LUIS OBISPO, CA 93405-1887
(805) 785-0321
(805) 785-0328
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 264-9682
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
—
1477961696
—
CA
Enumeration date
07/31/2014
Last updated
11/29/2022
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