| NPI | 1104099191 |
|---|---|
| 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 | 163W00000X Registered Nurse (Licence: PA 006305) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA 006305) |
| 251E00000X Home Health (Licence: PA 006305) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2011-03-17 |