Organization
RENAL CARE GROUP NORTHWEST, INC.
Active
Other names
OLYMPIA HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
719 SLEATER KINNEY RD SE, SUITE 152, LACEY, WA 98503-1147
(360) 459-3111
Mailing address
719 SLEATER KINNEY RD SE, SUITE 152, LACEY, WA 98503-1147
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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