Great Lakes Senior Care, LLC

NPI #1497732473 in Jackson, Michigan

Provider Information

NPI Number: 1497732473
Entity Type: Organization
Organization Name: Great Lakes Senior Care, LLC
Primary Specialty: Home Health
Enumeration Date: Dec 29, 2005
Last Updated: Feb 6, 2026

Practice Location

Address: 159 W MICHIGAN AVE STE 1
City: Jackson
State: Michigan
ZIP Code: 49201-1327
Phone: (800) 379-1600

Authorized Official

Name: ANGEL STANSBURY
Title: DIR LICENSE & REGULATORY COMPLIANCE
Phone: (337) 344-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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