institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vienna, West Virginia
NPI 1457316085

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, WV and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Vienna, WV. The NPI Number for Dva Renal Healthcare Inc is 1457316085 and holds a License No. (West Virginia).

The current practice location address for Dva Renal Healthcare Inc is 800 Grand Central Mall, Vienna, WV and can be reached out via phone at 304-917-4124 and via fax at 304-917-4136.

Location: 800 Grand Central Mall, Vienna, WV, 37027-7569
institution
Provider Profile Details
NPI Number
1457316085
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
800 Grand Central Mall, Vienna, WV, 37027-7569
Phone Number
304-917-4124
Fax Number
304-917-4136
Provider Enumeration Date
04/18/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2330025 05 OH
0402016000 05 WV
institution
Provider Business Practice Location Address Details
Address
800 Grand Central Mall
City
State
Zip
26105-4100
Phone Number
304-917-4124
Fax Number
304-917-4136
person
Provider Business Mailing Address Details
Address
800 Grand Central Mall
City
State
Zip
26105-4100
Phone Number
304-917-4124
Fax Number
304-917-4136
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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