Midwest Legacy Capital LLC
Midwest Legacy Capital LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Black Creek, Wisconsin. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
W4233 State Rd 54Black Creek, WI 54106-8633
Phone: (920) 915-5202
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1972008704 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Dudley — Ceo · (920) 915-5202 |
| Other names | At Home Kidneycare; At Home Kidneycare |
| NPI enumerated | March 26, 2018 |
| Last updated in NPPES | March 26, 2018 |
| Mailing address | W4233 State Rd 54, Black Creek, WI 54106-8633 |