Wahconah Dialysis LLC
NPI #1164028627 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1164028627
- Entity Type
- Organization
- Organization Name
- Wahconah Dialysis LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAVITA INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Dec 9, 2020
Practice Location
- Address
- 601 WASHINGTON AVE STE F
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2861
- Phone
- (609) 891-3070
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (615) 320-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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