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Trc - Indiana Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gary, Indiana
NPI 1952364648

Trc - Indiana Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Trc - Indiana Llc practices in Gary, IN. The NPI Number for Trc - Indiana Llc is 1952364648 and holds a License No. (Indiana).

The current practice location address for Trc - Indiana Llc is 4802 Broadway, Gary, IN and can be reached out via phone at 219-887-1199 and via fax at 219-887-1605. You can also correspond with Trc - Indiana Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4514).

Location: 4802 Broadway, Gary, IN, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952364648
Provider Name
Trc - Indiana Llc
Credential
Provider Entity Type
Organization
Address
4802 Broadway, Gary, IN, 37027-7569
Phone Number
219-887-1199
Fax Number
219-887-1605
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200315330A 05 IN
institution
Provider Business Practice Location Address Details
Address
4802 Broadway
City
Gary
State
Indiana
Zip
46408-4509
Phone Number
219-887-1199
Fax Number
219-887-1605
person
Provider Business Mailing Address Details
Address
4802 Broadway
City
Gary
State
Indiana
Zip
46408-4509
Phone Number
219-887-1199
Fax Number
219-887-1605
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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