USRC VALDOSTA HOME PROGRAM LLC

VALDOSTA, GA
NPI1760819601
Doing Business AsUS RENAL CARE VALDOSTA HOME PROGRAM
Entity TypeOrganization
Authorized ContactTHOMAS L WEINBERG
Senior Vice President Gen Counsel
214-736-2700
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2013-10-10
Last Update Date2014-06-02
Business Address
USRC VALDOSTA HOME PROGRAM LLC
3564 N CROSSING CIR
VALDOSTA, GA 31602-6412
Phone number: 229-671-4298
Mailing Address
USRC VALDOSTA HOME PROGRAM LLC
PO BOX 19119
JONESBORO, AR 72403-6601
Phone number: 870-931-5400