Organization
TOTAL RENAL CARE INC
Active
Other names
Dialysis Center of Erie
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1641 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 455-6455
(814) 456-1188
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
—
1007734290015
—
PA
Enumeration date
10/29/2007
Last updated
11/01/2024
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