DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Lake St Louis, MO. DVA HEALTHCARE RENAL CARE INC NPI is 1952362519. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake St Louis Dialysis.
The provider's business location address is:
200 BREVCO PLZ STE 201
LAKE ST LOUIS, MO
ZIP 63367
Phone: (636) 561-4799
Fax: (636) 561-4533
The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 26D0895639 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/31/2006 and was last updated on 8/22/2023.