| NPI | 1841648656 |
|---|---|
| Doing Business As | INTERSTATE DRIVE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES K HILGER Chief Accounting Officer 253-733-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |