institution
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake St Louis, Missouri
NPI 1952362519

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Lake St Louis, MO. The NPI Number for Dva Healthcare Renal Care Inc is 1952362519 and holds a License No. (Missouri).

The current practice location address for Dva Healthcare Renal Care Inc is 200 Brevco Plz Ste 201, Lake St Louis, MO and can be reached out via phone at 636-561-4799 and via fax at 636-561-4533.

Location: 200 Brevco Plz Ste 201, Lake St Louis, MO, 37027-7569
institution
Provider Profile Details
NPI Number
1952362519
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
200 Brevco Plz Ste 201, Lake St Louis, MO, 37027-7569
Phone Number
636-561-4799
Fax Number
636-561-4533
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
501537849 05 MO
institution
Provider Business Practice Location Address Details
Address
200 Brevco Plz Ste 201
City
State
Zip
63367
Phone Number
636-561-4799
Fax Number
636-561-4533
person
Provider Business Mailing Address Details
Address
200 Brevco Plz Ste 201
City
State
Zip
63367
Phone Number
636-561-4799
Fax Number
636-561-4533
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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