Organization
NEPHROLOGY CENTER OF DETROIT LLC
Active
Other names
Wayne County Dialysis Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
20001 LIVERNOIS AVE STE 500, DETROIT, MI 48221-4123
(313) 861-0340
(313) 861-0342
Mailing address
20001 LIVERNOIS AVE STE 500, DETROIT, MI 48221-4123
(313) 861-0340
(313) 861-0342
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
—
1528294691
—
MI
Enumeration date
06/03/2009
Last updated
01/10/2023
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