institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southgate, Michigan
NPI 1497717607

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MI and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Southgate, MI. The NPI Number for Dva Healthcare Renal Care Inc is 1497717607 and holds a License No. (Michigan).

The current practice location address for Dva Healthcare Renal Care Inc is 14752 Northline Rd, Southgate, MI and can be reached out via phone at 734-284-0005 and via fax at 734-284-0124.

Location: 14752 Northline Rd, Southgate, MI, 37027-7569
institution
Provider Profile Details
NPI Number
1497717607
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
14752 Northline Rd, Southgate, MI, 37027-7569
Phone Number
734-284-0005
Fax Number
734-284-0124
Provider Enumeration Date
04/04/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497717607 05 MI
2231301 05 OH
institution
Provider Business Practice Location Address Details
Address
14752 Northline Rd
City
State
Zip
48195-2698
Phone Number
734-284-0005
Fax Number
734-284-0124
person
Provider Business Mailing Address Details
Address
14752 Northline Rd
City
State
Zip
48195-2698
Phone Number
734-284-0005
Fax Number
734-284-0124
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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