Organization
WOODHAVEN DIALYSIS CENTER 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
1336 BRISTOL PIKE STE 110, BENSALEM, PA 19020-5660
(215) 639-1070
(215) 639-1270
Mailing address
1336 BRISTOL PIKE STE 110, BENSALEM, PA 19020-5660
(215) 639-1070
(215) 639-1270
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
—
1024238220001
—
PA
Enumeration date
07/02/2009
Last updated
07/17/2026
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