Organization · Type 2 NPI
Wahconah Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Manahawkin, NJ
NPI number
1164028627
Active
Practice location
601 Washington Ave, Ste F
Manahawkin, NJ 08050-2861
Fax (609) 891-3095
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Manahawkin
About NPI 1164028627
Wahconah Dialysis LLC's National Provider Identifier is 1164028627, issued on Dec 9, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Manahawkin, NJ. The record was last updated on Feb 18, 2026.