Organization
TOTAL RENAL CARE INC
Active
Other names
Trumbull 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
7 CAMBRIDGE DR, STE 105, TRUMBULL, CT 06611-4763
(203) 371-6592
(203) 371-6595
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
—
008094435
—
CT
Enumeration date
08/30/2019
Last updated
12/17/2024
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