Organization
USRC VALDOSTA HOME PROGRAM LLC
Active
Parent organization
US RENAL CARE, INC.
Other names
US Renal Care Valdosta Home Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
US RENAL CARE, INC.
Authorized official
THOMAS L WEINBERG (SENIOR VICE-PRESIDENT GEN COUNSEL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
3564 N CROSSING CIR, VALDOSTA, GA 31602-6412
(229) 671-4298
(229) 333-5438
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
10/10/2013
Last updated
06/02/2014
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