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Organization

TOTAL RENAL CARE INC

Active
Other names
Dale City 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
2920 DALE BLVD, DALE CITY, VA 22193-1120
(703) 680-5837
(703) 730-7461
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639561780
VA
Enumeration date
02/26/2015
Last updated
03/20/2024
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