USRC VALDOSTA HOME PROGRAM LLC is an end-stage renal disease (esrd) treatment clinic center in Valdosta, GA. USRC VALDOSTA HOME PROGRAM LLC NPI is 1760819601. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Valdosta Home Program.
The provider's business location address is:
3564 N CROSSING CIR
VALDOSTA, GA
ZIP 31602-412
Phone: (229) 671-4298
Fax: (229) 333-5438
The provider's authorized official is Thomas L Weinberg .
The authorized official title is Senior Vice-president Gen Counsel and has the following contact phone number (214) 736-2700.
The CLIA number assigned to this NPI record is 11D2069131 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/10/2013 and was last updated on 6/2/2014.