DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Monroe, LA. DVA RENAL HEALTHCARE INC NPI is 1962461038. The provider is registered as an organization entity type.
The provider Is Doing Business As Monroe Jackson St Dialysis.
The provider's business location address is:
309 JACKSON ST
MONROE, LA
ZIP 71201-407
Phone: (318) 327-4409
Fax: (318) 323-9339
The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.
The enumeration date for this NPI number is 3/18/2006 and was last updated on 8/14/2007.