Organization
DVA RENAL HEALTHCARE, INC.
Active
Organization
DVA RENAL HEALTHCARE, INC.
Active
Other names
LORING HEIGHTS 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
1741 COMMERCE DR NW STE 405, ATLANTA, GA 30318-3107
(404) 351-5758
(404) 351-9470
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
ESRD001223
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000656334G
—
GA
Enumeration date
03/14/2006
Last updated
06/09/2025
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