Dva Healthcare Renal Care INC

NPI #1932163268 in Ashtabula, Ohio

Provider Information

NPI Number: 1932163268
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: Dec 12, 2023

Practice Location

Address: 1614 W 19TH ST
City: Ashtabula
State: Ohio
ZIP Code: 44004-3036
Phone: (440) 964-9777

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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