Organization
DIALYSIS CENTER OF WOONSOCKET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
2100 DIAMOND HILL RD, WOONSOCKET, RI 02895-1544
(401) 765-4995
(401) 769-8315
Mailing address
2100 DIAMOND HILL RD, WOONSOCKET, RI 02895-1544
(401) 765-4995
(401) 769-8315
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4125030
—
RI
Enumeration date
07/06/2006
Last updated
01/13/2023
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