Organization
OPTIMAL CARE DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA CLAUDINE GRIGGS M.D. (OWNER)
(313) 341-7870
Entity
Organization
Contact information
Practice address
18600 JAMES COUZENS FWY, DETROIT, MI 48235-2509
(313) 341-7870
(313) 341-7950
Mailing address
18600 JAMES COUZENS FWY, DETROIT, MI 48235-2509
(313) 341-7870
(313) 341-7950
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
—
4366419
—
MI
Enumeration date
09/20/2006
Last updated
08/22/2020
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