Organization
TOTAL RENAL CARE INC
Active
Other names
Little Creek Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1817 E LITTLE CREEK RD, STE A, NORFOLK, VA 23518-4203
(757) 480-3780
(757) 480-3783
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699034686
—
VA
Enumeration date
05/10/2012
Last updated
07/15/2025
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