Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Deridder, LA
NPI number
1144289281
Active
Practice location
239 E 1st St
Deridder, LA 70634-4105
Fax (337) 460-1933
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 130 (LA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Deridder
About NPI 1144289281
Dva Renal Healthcare Inc's National Provider Identifier is 1144289281, issued on Mar 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Deridder, LA. The record was last updated on Apr 20, 2021.