Organization
IRC-SCIONHEALTH SELMA LLC
Active
Other names
Vaughan Kidney Care An Innovative Renal Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1360 E HIGHLAND AVE, SELMA, AL 36703-3210
(334) 876-0076
(334) 375-4049
Mailing address
1360 E HIGHLAND AVE, SELMA, AL 36703-3210
(334) 876-0076
(334) 375-4049
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
10/13/2023
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