Organization
TOTAL RENAL CARE INC
Active
Other names
Essen Lane 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
7703 PICARDY AVE, BATON ROUGE, LA 70808-4338
(225) 769-8669
(225) 766-0095
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2203782001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2400053
—
LA
Enumeration date
09/17/2013
Last updated
11/05/2024
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