institution
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Charles, Louisiana
NPI 1750340816

Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, LA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Renal Healthcare Inc practices in Lake Charles, LA. The NPI Number for Dva Renal Healthcare Inc is 1750340816 and holds a License No. 091 (Louisiana).

The current practice location address for Dva Renal Healthcare Inc is 4015 Common St, Lake Charles, LA and can be reached out via phone at 337-562-2022 and via fax at 337-562-2555. You can also correspond with Dva Renal Healthcare Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4218).

Location: 4015 Common St, Lake Charles, LA, 37027-7569
institution
Provider Profile Details
NPI Number
1750340816
Provider Name
Dva Renal Healthcare Inc
Credential
Provider Entity Type
Organization
Address
4015 Common St, Lake Charles, LA, 37027-7569
Phone Number
337-562-2022
Fax Number
337-562-2555
Provider Enumeration Date
03/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1102199 05 LA
institution
Provider Business Practice Location Address Details
Address
4015 Common St
City
State
Zip
70607-2942
Phone Number
337-562-2022
Fax Number
337-562-2555
person
Provider Business Mailing Address Details
Address
4015 Common St
City
State
Zip
70607-2942
Phone Number
337-562-2022
Fax Number
337-562-2555
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
091 (Louisiana)
Definition
Definition to come...
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