Great Lakes Healthcare, Inc.
NPI #1619532132 in Germantown, Wisconsin
Provider Information
- NPI Number
- 1619532132
- Entity Type
- Organization
- Organization Name
- Great Lakes Healthcare, Inc.
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- May 9, 2019
- Last Updated
- Aug 11, 2023
Practice Location
- Address
- W175N11117 STONEWOOD DR STE 100
- City
- Germantown
- State
- Wisconsin
- ZIP Code
- 53022
- Phone
- (262) 293-3951
Authorized Official
- Name
- LEE JOHNSON
- Title
- TREASURER
- Phone
- (208) 401-1369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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