Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Nashville Home Training Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1919 CHARLOTTE AVE, STE 200, NASHVILLE, TN 37203-2245
(615) 329-1162
(615) 329-1368
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
—
0442699
—
TN
Enumeration date
09/03/2008
Last updated
07/29/2024
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