Organization
DVA RENAL HEALTHCARE INC
Active
Other names
New Orleans Uptown Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE AND CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1401 FOUCHER ST # 4, NEW ORLEANS, LA 70115-3515
(504) 897-8530
(504) 897-8790
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
035
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1102130
—
LA
Enumeration date
03/18/2006
Last updated
10/23/2023
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