Organization
LIBERTY DIALYSIS - HAWAII LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
LIBERTY DIALYSIS HAWAII - KAHANA DIALYSIS FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
4405 HONOAPIILANI HWY STE 208, LAHAINA, HI 96761-9272
(808) 669-6628
(808) 669-1272
Mailing address
4405 HONOAPIILANI HWY STE 208, LAHAINA, HI 96761-9272
(808) 669-6628
(808) 669-1272
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00L0257463
—
HI
Enumeration date
06/10/2006
Last updated
10/17/2023
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