Organization
RENAL CARE OF WARREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALETHEA G. CASSIDY (CEO)
(814) 455-6455
Entity
Organization
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 728-5570
(814) 728-5574
Mailing address
1641 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 455-6455
(814) 456-1188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801089
—
PA
Enumeration date
09/01/2005
Last updated
08/22/2020
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