Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Youngsville Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (SR DIRECTOR LICENSING&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
314 YOUNGSVILLE HWY, SUITE 125, LAFAYETTE, LA 70508-4524
(337) 837-5044
(337) 837-5609
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
2408003
—
LA
Enumeration date
10/16/2013
Last updated
09/06/2023
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