Organization
WARREN 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
8720 E MARKET ST, SUITE 1A, WARREN, OH 44484-2364
(330) 609-5502
(330) 609-5505
Mailing address
8720 E MARKET ST, SUITE 1A, WARREN, OH 44484-2364
(330) 609-5502
(330) 609-5505
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
—
3048919
—
OH
Enumeration date
02/11/2009
Last updated
01/11/2023
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