| NPI | 1548436793 |
|---|---|
| Doing Business As | FOREST FAIR DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JIM HILGER Vice President 253-382-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-10-07 |