Great Lakes In-home Clinician Services Inc

NPI 1467696153 - Family Medicine - 207Q00000X

NPI Details
NPI 1467696153
Enumeration Date 04/24/2009
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KAVITA KAVITA
Position PRESIDENT
Phone (810) 664-7040
Fax (810) 245-9080
Practice Location
124 S STATE RD
DAVISON MI, 48423-1347, US
Phone (810) 664-7040
Fax (810) 245-9080
Business Location
404 W NEPESSING ST
LAPEER MI, 48446-2150, US
Phone (810) 664-7040
Fax (810) 245-9080
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Great Lakes In-home Clinician Services Inc NPI is 1467696153, taxonomy code is 207Q00000X Great Lakes In-home Clinician Services Inc physically located at 124 S State Rd, Davison MI, 48423-1347. NPI Number 1033115704 has the healthcare provider type.

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1467696153 NPI number is provided on an as is basis without warranty of any kind. 1467696153 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes In-home Clinician Services Inc are for informational purposes only.