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Renviva Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rockford, Illinois
NPI 1962873919

Renviva Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Rockford, IL and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renviva Llc practices in Rockford, IL. The NPI Number for Renviva Llc is 1962873919 and holds a License No. (Illinois).

The current practice location address for Renviva Llc is 1235 N Mulford Rd, Rockford, IL and can be reached out via phone at 513-673-5245 and via fax at 866-352-4339.

Location: 1235 N Mulford Rd, Rockford, IL, 61107-3879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962873919
Provider Name
Renviva Llc
Credential
Provider Entity Type
Organization
Address
1235 N Mulford Rd, Rockford, IL, 61107-3879
Phone Number
513-673-5245
Fax Number
866-352-4339
Provider Enumeration Date
10/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1235 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-3879
Phone Number
513-673-5245
Fax Number
866-352-4339
person
Provider Business Mailing Address Details
Address
1235 N Mulford Rd
City
Rockford
State
Illinois
Zip
61107-3879
Phone Number
513-673-5245
Fax Number
866-352-4339
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.
()
Definition
Definition to come...
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