institution
Dva Healthcare Of Tuscaloosa Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Eutaw, Alabama
NPI 1336112143

Dva Healthcare Of Tuscaloosa Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Of Tuscaloosa Llc practices in Eutaw, AL. The NPI Number for Dva Healthcare Of Tuscaloosa Llc is 1336112143 and holds a License No. S3201 (Alabama).

The current practice location address for Dva Healthcare Of Tuscaloosa Llc is 544 Us Highway 43, Eutaw, AL and can be reached out via phone at 205-372-4000 and via fax at 205-372-4055. You can also correspond with Dva Healthcare Of Tuscaloosa Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4268).

Location: 544 Us Highway 43, Eutaw, AL, 37027-7569
institution
Provider Profile Details
NPI Number
1336112143
Provider Name
Dva Healthcare Of Tuscaloosa Llc
Credential
Provider Entity Type
Organization
Address
544 Us Highway 43, Eutaw, AL, 37027-7569
Phone Number
205-372-4000
Fax Number
205-372-4055
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DIA2550D 05 AL
institution
Provider Business Practice Location Address Details
Address
544 Us Highway 43
City
State
Zip
35462-4017
Phone Number
205-372-4000
Fax Number
205-372-4055
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-320-4268
Fax Number
877-238-0567
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
S3201 (Alabama)
Definition
Definition to come...
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