| NPI | 1770874562 |
|---|---|
| Doing Business As | GREAT LAKES IN-HOME PRIVATE DUTY CARE |
| Entity Type | Organization |
| Authorized Contact | RYAN STECHSCHULTE Director Corporate Compliance 419-999-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2016-09-08 |