Dva Healthcare Renal Care INC
NPI #1043271414 in Ocean Springs, Mississippi
Provider Information
- NPI Number
- 1043271414
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 28, 2006
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 13150 PONCE DE LEON DR
- City
- Ocean Springs
- State
- Mississippi
- ZIP Code
- 39564-2460
- Phone
- (228) 818-3201
Authorized Official
- Name
- SAMUEL T. WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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