Organization
TOTAL RENAL CARE INC
Active
Other names
Long Ridge Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 320-4414
Entity
Organization
Contact information
Practice address
260 LONG RIDGE RD STE D, STAMFORD, CT 06902-1638
(475) 477-5557
(475) 477-5575
Mailing address
5200 VIRGINIA WAY, L AND C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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