NPI 1174598981

Dva Renal Healthcare INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Branford, CT

Practice location

Address: 249 W Main St, Branford, CT 06405-4048
Phone: (203) 481-8531
Fax: (203) 481-8557
Mailing address: 5200 Virginia Way L & C Dept, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 0266 (CT)

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1174598981
Entity type: Organization
NPI issued: 23 Feb 2006
Record last updated: 19 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.