RENVIVA LLC is an end-stage renal disease (esrd) treatment clinic center in Rockford, IL. RENVIVA LLC NPI is 1962873919. The provider is registered as an organization entity type.
The provider's business location address is:
1235 N MULFORD RD
ROCKFORD, IL
ZIP 61107-879
Phone: (513) 673-5245
Fax: (866) 352-4339
The provider's authorized official is Sandra Diane Fritzsch .
The authorized official title is Member Manager and has the following contact phone number (513) 673-5245.
The CLIA number assigned to this NPI record is 14D2109674 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2015 and was last updated on 9/26/2016.