| NPI | 1801091202 |
|---|---|
| Doing Business As | GREAT LAKES MEDICAL STAFFING |
| Entity Type | Organization |
| Authorized Contact | EVAN KYLE PRUETER President 419-872-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OH 1103334) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |