Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Santee, SC
NPI number
1164484234
Active
Practice location
228 Bradford Blvd
Santee, SC 29142-8677
Fax (803) 854-3135
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 | ERD-0121 (SC) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1164484234
Dva Healthcare Renal Care Inc's National Provider Identifier is 1164484234, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Santee, SC. The record was last updated on May 28, 2025.