Dva Renal Healthcare INC

NPI #1760441976 in Lincoln, Illinois

Provider Information

NPI Number: 1760441976
Entity Type: Organization
Organization Name: Dva Renal Healthcare INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Mar 17, 2006
Last Updated: Jul 15, 2024

Practice Location

Address: 2100 5TH ST
City: Lincoln
State: Illinois
ZIP Code: 62656-9115
Phone: (217) 732-6798

Authorized Official

Name: SAMUEL T WEY
Title: VP, LICENSURE & CERTIFICATION
Phone: (615) 341-6641

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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