Great Lakes Home Patient Care, Llc.

NPI 1477685048 - Home Health - 251E00000X

NPI Details
NPI 1477685048
Enumeration Date 03/09/2007
Last Updated 10/13/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON DAVID JASON
Position OWNER / BOARD MEMBER
Phone (248) 712-4854
Fax (248) 712-4891
Practice Location
30757 GREENFIELD RD.
SUITE A
SOUTHFIELD MI, 48076, US
Phone (248) 712-4854
Fax (248) 712-4891
Business Location
30757 GREENFIELD RD.
SUITE A
SOUTHFIELD MI, 48076, US
Phone (248) 712-4854
Fax (734) 462-1204
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
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According to our database, Great Lakes Home Patient Care, Llc. NPI is 1477685048, taxonomy code is 251E00000X Great Lakes Home Patient Care, Llc. physically located at 30757 Greenfield Rd., Southfield MI, 48076. NPI Number 1033115704 has the healthcare provider type.

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1477685048 NPI number is provided on an as is basis without warranty of any kind. 1477685048 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Home Patient Care, Llc. are for informational purposes only.