| NPI | 1972641496 |
|---|---|
| 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 8000002064) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-07-27 |