Great Lakes Healthcare Services INC

NPI #1225379621 in Southfield, Michigan

Provider Information

NPI Number: 1225379621
Entity Type: Organization
Organization Name: Great Lakes Healthcare Services INC
Primary Specialty: Home Health
Enumeration Date: Mar 9, 2013
Last Updated: Mar 9, 2013

Practice Location

Address: 21088 WESTLAND DR
City: Southfield
State: Michigan
ZIP Code: 48075-7945
Phone: (248) 635-7512

Authorized Official

Name: PREJ I IROEGBU
Title: PRESIDENT
Phone: (248) 635-7512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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