DVA RENAL HEALTHCARE INC

LAKE CHARLES, LA
NPI1750340816
Doing Business AsLAKE CHARLES SOUTH DIALYSIS
Entity TypeOrganization
Authorized ContactTHOMAS O USILTON
Group Vice President
770-541-7922
Organization Subpart ?No
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
(Licence: LA  091)
Enumeration Date2006-03-18
Last Update Date2007-07-11
Business Address
DVA RENAL HEALTHCARE INC
4015 COMMON ST
LAKE CHARLES, LA 70607-2942
Phone number: 337-562-2022
Mailing Address
DVA RENAL HEALTHCARE INC
5200 VIRGINIA WAY STE 400 L&C
BRENTWOOD, TN 37027-7569
Phone number: 615-320-4218