Organization
RENAL CARE GROUP NORTHWEST, INC.
Active
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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