Organization · Type 2 NPI
Dva Renal Healthcare Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Monroe, LA
NPI number
1316906480
Active
Practice location
1701 Highway 165 S
Monroe, LA 71202-8215
Fax (318) 651-7543
Mailing address
5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 071 (LA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1316906480
Dva Renal Healthcare Inc's National Provider Identifier is 1316906480, 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 Monroe, LA. The record was last updated on Jul 11, 2007.