Dva Healthcare Renal Care INC

NPI #1346204617 in Madison, Ohio

Provider Information

NPI Number: 1346204617
Entity Type: Organization
Organization Name: Dva Healthcare Renal Care INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 13, 2006
Last Updated: Jan 22, 2021

Practice Location

Address: 6830 N RIDGE RD
City: Madison
State: Ohio
ZIP Code: 44057-2637
Phone: (440) 428-8377

Authorized Official

Name: JOHN D WINSTEL
Title: CHIEF ACCOUNTING OFFICER, TREASURER
Phone: (253) 733-4501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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