Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Greenview Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
18544 W 8 MILE RD, SOUTHFIELD, MI 48075-4194
(248) 569-1729
(248) 569-2471
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
4465865
—
MI
Enumeration date
04/01/2006
Last updated
05/08/2024
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