Organization
WINSLOW DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J VALLE (CEO/PRESIDENT)
(610) 495-8900
Entity
Organization
Contact information
Practice address
510 2-A WILLIAMSTOWN ROAD, SICKLERVILLE, NJ 08081
(856) 728-2811
(856) 728-2911
Mailing address
211 COMMERCE CT, SUITE 104, POTTSTOWN, PA 19464-3483
(610) 495-8900
(610) 495-8560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
23949
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106071
—
NJ
01
—
312585
HORIZON BLUE CROSS
NJ
Enumeration date
07/07/2006
Last updated
09/27/2007
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