institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lucedale, Mississippi
NPI 1629039086

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 Lucedale, MS. The NPI Number for Dva Healthcare Renal Care Inc is 1629039086 and holds a License No. (Mississippi).

The current practice location address for Dva Healthcare Renal Care Inc is 652 Manila St, Lucedale, MS and can be reached out via phone at 601-947-8701 and via fax at 601-947-8980.

Location: 652 Manila St, Lucedale, MS, 37027-7569
institution
Provider Profile Details
NPI Number
1629039086
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
652 Manila St, Lucedale, MS, 37027-7569
Phone Number
601-947-8701
Fax Number
601-947-8980
Provider Enumeration Date
03/28/2006
Last Update Date
05/18/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00220525 05 MS
institution
Provider Business Practice Location Address Details
Address
652 Manila St
City
State
Zip
39452-5962
Phone Number
601-947-8701
Fax Number
601-947-8980
person
Provider Business Mailing Address Details
Address
652 Manila St
City
State
Zip
39452-5962
Phone Number
601-947-8701
Fax Number
601-947-8980
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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