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Organization

LIBERTY DIALYSIS - DUNELAND LLC

Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care La Porte 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
103 W 18TH ST, LA PORTE, IN 46350-6631
(219) 326-6362
(219) 326-6393
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 777-8201

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
200834980B
IN
Enumeration date
07/11/2006
Last updated
03/29/2016
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