Organization
DIALYSIS CENTER OF WAKEFIELD 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
10 HIGH ST, SUITE C, WAKEFIELD, RI 02879-3144
(401) 792-3450
(401) 792-3380
Mailing address
10 HIGH ST, SUITE C, WAKEFIELD, RI 02879-3144
(401) 792-3450
(401) 792-3380
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
—
DC61454
—
RI
Enumeration date
06/11/2006
Last updated
05/14/2025
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