institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pascagoula, Mississippi
NPI 1538120902

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Pascagoula, MS. The NPI Number for Dva Healthcare Renal Care Inc is 1538120902 and holds a License No. (Mississippi).

The current practice location address for Dva Healthcare Renal Care Inc is 4907 Telephone Rd, Pascagoula, MS and can be reached out via phone at 228-762-0701 and via fax at 228-696-2955.

Location: 4907 Telephone Rd, Pascagoula, MS, 37027-7569
institution
Provider Profile Details
NPI Number
1538120902
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
4907 Telephone Rd, Pascagoula, MS, 37027-7569
Phone Number
228-762-0701
Fax Number
228-696-2955
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00220430 05 MS
institution
Provider Business Practice Location Address Details
Address
4907 Telephone Rd
City
State
Zip
39567-1823
Phone Number
228-762-0701
Fax Number
228-696-2955
person
Provider Business Mailing Address Details
Address
4907 Telephone Rd
City
State
Zip
39567-1823
Phone Number
228-762-0701
Fax Number
228-696-2955
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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