NPI | 1164482089 |
---|---|
Doing Business As | HOWARD STREET DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2606) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-04-10 |