Organization
OPTALIS GRAND RAPIDS MC OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ PATEL (CEO)
(248) 692-4355
Entity
Organization
Contact information
Practice address
1900 32ND ST SE, GRAND RAPIDS, MI 49508-7908
(616) 284-5751
Mailing address
1900 32ND ST SE, GRAND RAPIDS, MI 49508-7908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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