| Renal Care Of Warren, Llc | |
|
2 W Crescent Park Warren PA 16365-2111 | |
| (814) 728-5570 | |
| (814) 728-5574 |
| Full Name | Renal Care Of Warren, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2 W Crescent Park, Warren, Pennsylvania |
| Authorized Official Name and Position | Alethea G. Cassidy (CEO) |
| Authorized Official Contact | 8144556455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renal Care Of Warren, Llc 1641 Sassafras St Erie PA 16502-1858 Ph: (814) 455-6455 | Renal Care Of Warren, Llc 2 W Crescent Park Warren PA 16365-2111 Ph: (814) 728-5570 |
| NPI Number | 1720072093 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720072093 | NPI | - | NPPES |
| 1801089 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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