Organization
TOTAL RENAL CARE INC
Active
Other names
Villa of Fairview Park
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
19050 LORAIN RD, FAIRVIEW PARK, OH 44126-1915
(440) 333-1172
(440) 333-1263
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6311
(877) 675-1478
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
—
3028379
—
OH
Enumeration date
02/12/2009
Last updated
04/21/2014
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