| NPI | 1699813113 |
|---|---|
| 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: PA 3000008116) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3000008116) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-05-10 |