| NPI | 1952506354 |
|---|---|
| Doing Business As | GREAT LAKES HOME CARE |
| Entity Type | Organization |
| Authorized Contact | EVAN KYLE PRUETER President 419-872-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: ID 1656351) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |