Organization
LIBERTY DIALYSIS-HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE VANVALKENBURGH (VICE PRESIDENT CLINICAL OPERATIONS)
(478) 798-8003
Entity
Organization
Contact information
Practice address
1831 WILI PA LOOP, WAILUKU, HI 96793-1273
(808) 242-6400
(808) 244-5712
Mailing address
2226 LILIHA ST, SUITE 226, HONOLULU, HI 96817-1600
(808) 585-4600
(808) 585-4601
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
07/11/2007
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