Organization
KEOWEE 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
537 HIGHWAY 123, SENECA, SC 29678-0845
(864) 886-4284
(864) 886-4289
Mailing address
537 HIGHWAY 123, SENECA, SC 29678-0845
(864) 886-4284
(864) 886-4289
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
—
RE0037
—
SC
Enumeration date
01/27/2012
Last updated
01/14/2023
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