Dva Healthcare Renal Care INC
NPI #1073575171 in Fairfax, South Carolina
Provider Information
- NPI Number
- 1073575171
- Entity Type
- Organization
- Organization Name
- Dva Healthcare Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Sep 8, 2025
Practice Location
- Address
- 1241 BOUNDARY ST W
- City
- Fairfax
- State
- South Carolina
- ZIP Code
- 29827-3611
- Phone
- (803) 632-1587
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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