Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Cherry Hill Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1030 KINGS HWY N, STE 100, CHERRY HILL, NJ 08034-1907
(856) 321-0111
(856) 482-0263
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
40401
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001093234
—
DE
05
—
01831220
—
PA
05
—
5636400
—
NJ
Enumeration date
07/01/2006
Last updated
05/15/2026
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