OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1629039086 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lucedale, MS
Provider details
- NPI number
- 1629039086
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
652 Manila St
Lucedale, MS 39452-5962
Phone: (601) 947-8701
Fax: (601) 947-8980
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Lucedale Dialysis
- Doing business as
- Lucedale Dialysis
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.