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Organization

LIBERTY DIALYSIS - HAWAII, LLC

Active
Other names
Liberty Dialysis - Hawaii Home Dialysis Program
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN PARDO (VICE PRESIDENT)
(206) 236-5001
Entity
Organization

Contact information

Practice address
500 ALA MOANA BLVD, BLDG 7, SUITE 302, HONOLULU, HI 96813-4920
(808) 585-4600
Mailing address
7650 SE 27TH ST, STE 200, MERCER ISLAND, WA 98040-3060
(206) 236-5001
(206) 236-5002

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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