DVA HEALTHCARE SOUTHWEST OHIO LLC

FAIRFIELD, OH
NPI1720042096
Doing Business AsFAIRFIELD DIALYSIS
Entity TypeOrganization
Authorized ContactSAMUEL T WEY
VP, Licensure & Certification
615-341-6641
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: OH  0491DC)
Enumeration Date2006-04-13
Last Update Date2023-11-07
Business Address
DVA HEALTHCARE SOUTHWEST OHIO LLC
1210 HICKS BLVD
FAIRFIELD, OH 45014-1921
Phone number: 513-939-1110
Mailing Address
DVA HEALTHCARE SOUTHWEST OHIO LLC
5200 VIRGINIA WAY L&C DEPT
BRENTWOOD, TN 37027-7569
Phone number: 615-238-3051