Organization
TOTAL RENAL CARE INC
Active
Other names
Delaware Valley Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
102 DAVITA DR, MILFORD, PA 18337-9390
(570) 491-9210
(570) 491-9220
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773429 0011
—
PA
Enumeration date
04/05/2006
Last updated
04/10/2026
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