institution
Dva Healthcare Renal Care, Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairview Heights, Illinois
NPI 1013986389

Dva Healthcare Renal Care, Inc. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care, Inc. practices in Fairview Heights, IL. The NPI Number for Dva Healthcare Renal Care, Inc. is 1013986389 and holds a License No. (Illinois).

The current practice location address for Dva Healthcare Renal Care, Inc. is 821 Lincoln Hwy, Fairview Heights, IL and can be reached out via phone at 618-632-9550 and via fax at 618-632-8903.

Location: 821 Lincoln Hwy, Fairview Heights, IL, 37027-7569
institution
Provider Profile Details
NPI Number
1013986389
Provider Name
Dva Healthcare Renal Care, Inc.
Credential
Provider Entity Type
Organization
Address
821 Lincoln Hwy, Fairview Heights, IL, 37027-7569
Phone Number
618-632-9550
Fax Number
618-632-8903
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2300521 05 OH
institution
Provider Business Practice Location Address Details
Address
821 Lincoln Hwy
City
State
Zip
62208-2216
Phone Number
618-632-9550
Fax Number
618-632-8903
person
Provider Business Mailing Address Details
Address
821 Lincoln Hwy
City
State
Zip
62208-2216
Phone Number
618-632-9550
Fax Number
618-632-8903
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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