DVA Healthcare of Maryland LLC
DVA Healthcare of Maryland LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
920 E 25th StBaltimore, MD 21218-5503
Phone: (410) 235-1611
Fax: (410) 235-3721
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X · Licence E2595 (MD) |
|---|
Record details
| NPI number | 1023077328 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Winstel — Chief Accounting Officer · (253) 733-4501 |
| Other names | 25th Street Dialysis; 25th Street Dialysis |
| NPI enumerated | March 23, 2006 |
| Last updated in NPPES | December 6, 2021 |
| Certification date | December 6, 2021 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
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