MALVERN DIALYSIS
Ambulatory Health at Pacific Ave, Tacoma, WA

License number
Washington 04D1012185
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
License number
Washington 1700120110
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: KENT THIRY CHAIRMAN
Title: CEO
Phone: (303) 876-6000
Address
Address 2
1423 Pacific Ave, Tacoma, WA 98402
1590 Tanner St, Malvern, AR 72104
National Provider ID: 1184042186
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MALVERN DIALYSIS at bizstanding.com

Renal Treatment Centers-Southeast, Lp

1590 Tanner St, Malvern, AR 72104

Industry:
Kidney Dialysis Centers, Medical Doctor's Office Kidney Dialysis Centers
Doing business as:
Malvern Dialysis
Executive, Principals:
James K. Hilger (Cao, Chief Accountant),Tammy Furr Executive, Principal, inactive

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