Organization
USRC VP HOME, LLC
Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care VIlla Park Home Dialysis Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
U S RENAL CARE INC
Authorized official
THOMAS L WEIBERG (MANAGER - AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
202 E NORTH AVE, VILLA PARK, IL 60181-1221
(630) 415-3458
(630) 415-3463
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/16/2015
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