Organization · Type 2 NPI
Dca of Warsaw LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Warsaw, VA
NPI number
1124081963
Active
Practice location
4709 Richmond Road, Warsaw Village Shopping Center
Warsaw, VA 22572
Fax (804) 333-0400
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1124081963
Dca of Warsaw LLC's National Provider Identifier is 1124081963, issued on Apr 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Warsaw, VA. The record was last updated on Oct 25, 2013.