Organization Name: | AMERICAN RENAL CARE INC |
NPI Number: | 1124246814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA M POULSEN (TREASURER ACCOUNT MANAGER) |
Mailing Address: | 1999 Parker Ct Suite B Stone Mountain |
State: | GA US |
Postal Code: | 300873474 |
Phone Number: | 6783446889 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BD1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Dialysis Equipment & Supplies |
Taxonomy Definition: |