Great Lakes at Home Care, Inc.
NPI #1265103717 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1265103717
- Entity Type
- Organization
- Organization Name
- Great Lakes at Home Care, Inc.
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Oct 3, 2024
Practice Location
- Address
- SUZETTE SORRELLS
- Address 2
- 1005 CAMPBELL STREET
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46385
- Phone
- (219) 227-0628
Authorized Official
- Name
- MS. SUZETTE SORRELLS, MS, LCMHC-A, NCC
- Title
- OWNER
- Phone
- (219) 227-0628
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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