institution
Dva Healthcare Of Tuscaloosa Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fayette, Alabama
NPI 1902879117

Dva Healthcare Of Tuscaloosa Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, AL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Of Tuscaloosa Llc practices in Fayette, AL. The NPI Number for Dva Healthcare Of Tuscaloosa Llc is 1902879117 and holds a License No. S2901 (Alabama).

The current practice location address for Dva Healthcare Of Tuscaloosa Llc is 2450 Temple Ave N, Fayette, AL and can be reached out via phone at 205-932-8500 and via fax at 205-932-8332. You can also correspond with Dva Healthcare Of Tuscaloosa Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4268).

Location: 2450 Temple Ave N, Fayette, AL, 37027-7569
institution
Provider Profile Details
NPI Number
1902879117
Provider Name
Dva Healthcare Of Tuscaloosa Llc
Credential
Provider Entity Type
Organization
Address
2450 Temple Ave N, Fayette, AL, 37027-7569
Phone Number
205-932-8500
Fax Number
205-932-8332
Provider Enumeration Date
02/08/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DIA2548D 05 AL
00220640 05 MS OUT OF STATE PROVIDER
institution
Provider Business Practice Location Address Details
Address
2450 Temple Ave N
City
State
Zip
35555-1160
Phone Number
205-932-8500
Fax Number
205-932-8332
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-320-4268
Fax Number
877-238-0567
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
S2901 (Alabama)
Definition
Definition to come...
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