Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Rome 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
20 RIVERBEND DR SW STE 100, ROME, GA 30161-6066
(706) 236-9550
(706) 236-9308
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
ESRD001034
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000414741A
—
GA
05
—
1356319560
—
AL
Enumeration date
03/14/2006
Last updated
12/03/2025
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