DVA HEALTHCARE RENAL CARE INC NPI 1144282492

NPI Information

DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Detroit, MI. DVA HEALTHCARE RENAL CARE INC NPI is 1144282492. The provider is registered as an organization entity type.
The provider Is Doing Business As Schaeffer Drive Dialysis.

The provider's business location address is:

18100 SCHAEFER HWY
DETROIT, MI
ZIP 48235-600
Phone: (313) 861-4354
Fax: (313) 861-4369

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 23D0725594 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 5/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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