Organization
ARA-FALL RIVER DIALYSIS LLC
Active
Other names
Dialysis Center of Fall River
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WILCOX (CFO)
(978) 922-3080
Entity
Organization
Contact information
Practice address
221 WEAVER ST, UNITS 5 & 6, FALL RIVER, MA 02720-1345
(508) 676-0112
(508) 676-0113
Mailing address
221 WEAVER ST, UNITS 5 & 6, FALL RIVER, MA 02720-1345
(508) 676-0112
(508) 676-0113
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
—
1301195
—
MA
05
—
FR58353
—
RI
Enumeration date
09/06/2006
Last updated
03/16/2017
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