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Organization

YOUNGSTOWN-WARREN HOME DIALYSIS 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
4531 BELMONT AVE, YOUNGSTOWN, OH 44505-1051
(330) 759-3807
(330) 759-3797
Mailing address
4531 BELMONT AVE, YOUNGSTOWN, OH 44505-1051
(330) 759-3807
(330) 759-3797

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
3147115
OH
Enumeration date
11/24/2009
Last updated
01/13/2023
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