| NPI | 1902184625 |
|---|---|
| Doing Business As | BALLENGER CREEK DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: MD E2654) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-04-17 |