NPI Provider: 1073519369
Contact Name: Lucki Debra
Position: Assistant Administrator
Phone: (304) 242-7770
Wheeling Renal Care Llc Information:
Wheeling Renal Care Llc organization have npi 1073519369, taxonomy code is 261QE0700X with license number is 12274 in . This Business address located in 500 Medical Park, Wheeling, WV 26003 West Virginia.
Practice Location
Address: 1 Benjamin Dr, New Martinsville, WV 26155
Phone: (304) 455-2700
Business Location
Address: 500 Medical Park, Wheeling, WV 26003
Phone: (304) 242-7770
Fax: (304) 243-3216
Taxonomy
Taxonomy Code: 261QE0700X
License Number: 12274
License Number of State: LA
Primary Taxonomy Switch: Y
Enumeration Date: 6/22/2005
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