FAYETTEVILLE DIALYSIS is an end-stage renal disease (esrd) treatment clinic center in Tacoma, WA. FAYETTEVILLE DIALYSIS NPI is 1811315971. The provider is registered as an organization entity type.
The provider's business location address is:
1423 PACIFIC AVE
TACOMA, WA
ZIP 98402-203
Phone: (253) 382-1752
The provider's authorized official is Kent Thiry .
The authorized official title is Ceo and has the following contact phone number (303) 876-6000.
The CLIA number assigned to this NPI record is 04D0922946 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/4/2014 and was last updated on 4/4/2014.