Dva Healthcare Of Maryland LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Baltimore, MD. Organization (NPI-2).
NPI number1154381663
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1154381663
- Entity type
- Organization (NPI-2)
- Legal business name
- Dva Healthcare Of Maryland LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2006
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | E2523 | MD | Yes |
Other names
- Whitesquare Dialysis (Doing Business As)
Practice location
1 Nashua CtSte E
Baltimore, MD 21221-3131
Phone 410-687-5580 · Fax 410-687-8559
Mailing address
5200 Virginia WayL & C Department
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp Licensure & Certification
6153416641
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