Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Schaeffer Drive Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
18100 SCHAEFER HWY, DETROIT, MI 48235-2600
(313) 861-4354
(313) 861-4369
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4211273
—
MI
Enumeration date
04/03/2006
Last updated
07/12/2024
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