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Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gonzales, Louisiana
NPI 1760441802

Dva Healthcare Renal Care 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 Healthcare Renal Care Inc practices in Gonzales, LA. The NPI Number for Dva Healthcare Renal Care Inc is 1760441802 and holds a License No. 026 (Louisiana).

The current practice location address for Dva Healthcare Renal Care Inc is 1125 S Burnside Ave, Gonzales, LA and can be reached out via phone at 225-255-4070 and via fax at 225-255-4071.

Location: 1125 S Burnside Ave, Gonzales, LA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760441802
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
1125 S Burnside Ave, Gonzales, LA, 37027-7569
Phone Number
225-255-4070
Fax Number
225-255-4071
Provider Enumeration Date
03/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1385832 05 LA
institution
Provider Business Practice Location Address Details
Address
1125 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4248
Phone Number
225-255-4070
Fax Number
225-255-4071
person
Provider Business Mailing Address Details
Address
1125 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4248
Phone Number
225-255-4070
Fax Number
225-255-4071
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
026 (Louisiana)
Definition
Definition to come...
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