Organization
ANN COOK DIALYSIS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAKEISHA ZEIGLER (AUTHORIZED AGENT)
(754) 207-5634
Entity
Organization
Contact information
Practice address
22525 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-2433
(175) 420-7563
Mailing address
22525 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-2433
(313) 451-0405
(586) 999-8836
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
03/04/2021
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