institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Charles, Louisiana
NPI 1154380228

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, LA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Lake Charles, LA. The NPI Number for Dva Renal Healthcare Inc is 1154380228 and holds a License No. 060 (Louisiana).

The current practice location address for Dva Renal Healthcare Inc is 300 18Th St, Lake Charles, LA and can be reached out via phone at 337-433-6831 and via fax at 337-433-6613. 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: 300 18Th St, Lake Charles, LA, 37027-7569
institution
Provider Profile Details
NPI Number
1154380228
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
300 18Th St, Lake Charles, LA, 37027-7569
Phone Number
337-433-6831
Fax Number
337-433-6613
Provider Enumeration Date
03/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102121 05 LA
institution
Provider Business Practice Location Address Details
Address
300 18Th St
City
State
Zip
70601-7342
Phone Number
337-433-6831
Fax Number
337-433-6613
person
Provider Business Mailing Address Details
Address
300 18Th St
City
State
Zip
70601-7342
Phone Number
337-433-6831
Fax Number
337-433-6613
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
060 (Louisiana)
Definition
Definition to come...
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