Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Monroe, LA

NPI number 1962461038 Active

Practice location

309 Jackson St
Monroe, LA 71201-7407

Fax (318) 323-9339

Mailing address

5200 Virginia Way, Ste 400 L&c
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X070 (LA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1962461038

Dva Renal Healthcare Inc's National Provider Identifier is 1962461038, 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 Aug 14, 2007.