Organization
TOTAL RENAL CARE INC
Active
Other names
Allouez 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
161 W ST. JOSEPH ST, ALLOUEZ, WI 54301-2291
(920) 932-6441
(920) 932-6465
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
Enumeration date
09/16/2021
Last updated
07/16/2024
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