| NPI | 1346528494 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS - HAWAII HOME DIALYSIS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RYAN PARDO Vice President 206-236-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |