Organization
NEPHROLOGY CENTER OF EASTPOINTE LLC
Active
Other names
Dialysis Centers of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
24931 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 771-0675
(586) 771-0677
Mailing address
24931 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 771-0675
(586) 771-0677
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
—
1396100319
—
MI
Enumeration date
12/17/2015
Last updated
01/10/2023
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