Organization
TOTAL RENAL CARE INC
Active
Other names
Defuniak Springs Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(283) 382-1919
Entity
Organization
Contact information
Practice address
1045 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3375
(850) 892-1345
(850) 892-2371
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
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
—
001752800
—
FL
Enumeration date
07/10/2008
Last updated
03/09/2010
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