institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cookeville, Tennessee
NPI 1023070653

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Cookeville, TN. The NPI Number for Dva Renal Healthcare Inc is 1023070653 and holds a License No. 110 (Tennessee).

The current practice location address for Dva Renal Healthcare Inc is 320 N Willow Ave, Cookeville, TN and can be reached out via phone at 931-520-7763 and via fax at 931-646-4866. You can also correspond with Dva Renal Healthcare Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4514).

Location: 320 N Willow Ave, Cookeville, TN, 37027-7569
institution
Provider Profile Details
NPI Number
1023070653
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
320 N Willow Ave, Cookeville, TN, 37027-7569
Phone Number
931-520-7763
Fax Number
931-646-4866
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0442511 05 TN
3900013800 05 KY
institution
Provider Business Practice Location Address Details
Address
320 N Willow Ave
City
State
Zip
38501-2337
Phone Number
931-520-7763
Fax Number
931-646-4866
person
Provider Business Mailing Address Details
Address
320 N Willow Ave
City
State
Zip
38501-2337
Phone Number
931-520-7763
Fax Number
931-646-4866
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
110 (Tennessee)
Definition
Definition to come...
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