FAYETTEVILLE DIALYSIS

TACOMA, WA
NPI1811315971
Entity TypeOrganization
Authorized ContactKENT THIRY
CEO
303-876-6000
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
(Licence: AR  04D0922946)
Additional Taxonomies261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment
(Licence: AR  1295913416)
Enumeration Date2014-04-04
Last Update Date2014-04-04
Business Address
FAYETTEVILLE DIALYSIS
1423 PACIFIC AVE
TACOMA, WA 98402-4203
Phone number: 253-382-1752
Mailing Address
FAYETTEVILLE DIALYSIS
509 E MILLSAP RD STE 111
FAYETTEVILLE, AR 72703-4067
Phone number: 479-443-6688