Organization
ARA-FOREST PARK DIALYSIS LLC
Active
Other names
Forest Park Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1603 SANTA ROSA RD, SUITE 100, RICHMOND, VA 23229-5010
(804) 288-2751
(804) 288-2752
Mailing address
1603 SANTA ROSA RD, SUITE 100, RICHMOND, VA 23229-5010
(804) 288-2751
(804) 288-2752
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
—
010140064
—
VA
Enumeration date
08/15/2006
Last updated
05/14/2026
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