OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1497717607 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Southgate, MI
Provider details
- NPI number
- 1497717607
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
14752 Northline Rd
Southgate, MI 48195-2698
Phone: (734) 284-0005
Fax: (734) 284-0124
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2024-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.