Organization
DVA HEALTHCARE OF MARYLAND LLC
Active
Other names
Silver Spring 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
8040 GEORGIA AVE STE 150, SILVER SPRING, MD 20910-4989
(301) 608-8961
(301) 608-8966
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
E2593
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033167300
—
DC
05
—
1629038252
—
VA
05
—
613303700
—
MD
Enumeration date
03/27/2006
Last updated
03/04/2025
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