Dva Renal Healthcare INC
NPI #1144289208 in Farmerville, Louisiana
Provider Information
- NPI Number
- 1144289208
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 18, 2006
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 1012 STERLINGTON HWY
- City
- Farmerville
- State
- Louisiana
- ZIP Code
- 71241-3810
- Phone
- (318) 368-1071
Authorized Official
- Name
- THOMAS O USILTON JR.
- Title
- GROUP VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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