| NPI | 1770758526 |
|---|---|
| Doing Business As | MARYVALE DIALYSIS CENTER |
| 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 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2021-06-24 |