Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Amelia 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
15151 PATRICK HENRY HWY, AMELIA COURT HOUSE, VA 23002-4700
(804) 207-6131
(804) 207-6138
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
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861456113
—
VA
Enumeration date
04/13/2006
Last updated
06/24/2024
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