Organization
GREENACRES 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
5702 LAKE WORTH RD, SUITE 1, GREENACRES, FL 33463-4522
(561) 357-9547
(561) 357-9541
Mailing address
5702 LAKE WORTH RD, SUITE 1, GREENACRES, FL 33463-4522
(561) 357-9547
(561) 357-9541
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
—
RE0040
—
SC
Enumeration date
03/19/2013
Last updated
01/13/2023
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