| NPI | 1124186804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GALL CFO 509-758-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: WA H108) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-01-26 |