Dva Healthcare Renal Care INC
NPI #1629039086 in Lucedale, Mississippi
Provider Information
- NPI Number
- 1629039086
- 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
- Nov 10, 2025
Practice Location
- Address
- 652 MANILA ST
- City
- Lucedale
- State
- Mississippi
- ZIP Code
- 39452-5962
- Phone
- (601) 947-8701
Authorized Official
- Name
- SAMUEL 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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