| NPI | 1356657621 |
|---|---|
| Doing Business As | LAKE HEARN DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA ESRD001242) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-03-16 |