Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Galleria 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
9160 HIGHWAY 64, LAKELAND, TN 38002-4766
(901) 380-1511
(901) 380-5624
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
107
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442611
—
TN
05
—
176759134
—
AR
05
—
1791750
—
LA
Enumeration date
04/06/2006
Last updated
07/17/2026
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