Organization
HAWKDEN DIALYSIS LLC
Active
Other names
Greater Tacoma Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3630 S CEDAR ST STE J, TACOMA, WA 98409-5702
(615) 341-6282
Mailing address
5200 VIRGINIA WAY, ATTNL L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6828
(866) 510-6389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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