Dva Renal Healthcare INC

NPI #1245290782 in Effingham, Illinois

Provider Information

NPI Number
1245290782
Entity Type
Organization
Organization Name
Dva Renal Healthcare INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 27, 2006
Last Updated
Oct 21, 2024

Practice Location

Address
904 MEDICAL PARK DR
Address 2
SUITE 1
ZIP Code
62401-2193
Phone
(217) 342-9558

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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