Organization
HOWARD UNIVERSITY 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
2041 GEORGIA AVE NW, TOWER BUILDING, SUITE 1119B, WASHINGTON, DC 20060-0001
(202) 865-7365
(202) 865-7375
Mailing address
2041 GEORGIA AVE NW, TOWER BUILDING, SUITE 1119B, WASHINGTON, DC 20060-0001
(202) 865-7365
(202) 865-7375
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
—
085060800
—
DC
Enumeration date
02/06/2012
Last updated
01/11/2023
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