Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Washington Southeast 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
3857A PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-1309
(202) 581-9440
(202) 581-9446
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, 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
—
004927664
—
VA
05
—
029552300
—
DC
05
—
339431000
—
MD
Enumeration date
02/27/2006
Last updated
04/02/2026
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