| NPI | 1447553763 |
|---|---|
| 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 | 261QI0500X Clinic/Center, Infusion Therapy (Licence: PA PP414351L) |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy (Licence: NY 029138) |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: OH NTP021052100) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-03-17 |