| NPI | 1033292040 |
|---|---|
| Doing Business As | GREAT LAKES HOME HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | KATHY L DUBOWSKI President 814-877-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NY 025358) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 57AL0000864) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-08-03 |