Organization
OPTALIS WHITEHALL OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ PATEL (CEO)
(248) 692-4355
Entity
Organization
Contact information
Practice address
916 E LEWIS ST, WHITEHALL, MI 49461-1699
(231) 894-4056
(231) 893-1106
Mailing address
916 E LEWIS ST, WHITEHALL, MI 49461-1699
(231) 894-4056
(231) 893-1106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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