DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Lake Charles, LA. DVA RENAL HEALTHCARE INC NPI is 1154380228. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Charles Southwest Dialysis.
The provider's business location address is:
300 18TH ST
LAKE CHARLES, LA
ZIP 70601-342
Phone: (337) 433-6831
Fax: (337) 433-6613
The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 19D0915936 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/18/2006 and was last updated on 2/20/2024.