Great Lakes Support Services

NPI 1023238417 - Home Health - 251E00000X

NPI Details
NPI 1023238417
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NICKIE LASHAWN NICKIE
Position OWNER
Phone (231) 932-8457
Fax (231) 932-8457
Practice Location
800 S GARFIELD AVE STE B
TRAVERSE CITY MI, 49686-3486, US
Phone (231) 932-8457
Fax (231) 932-8457
Business Location
PO BOX 7153
TRAVERSE CITY MI, 49696-7153, US
Phone (231) 932-8457
Fax (231) 932-8457
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
Remove 1023238417 NPI Number
 

According to our database, Great Lakes Support Services NPI is 1023238417, taxonomy code is 251E00000X Great Lakes Support Services physically located at 800 S Garfield Ave Ste B, Traverse City MI, 49686-3486. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1023238417 NPI number is provided on an as is basis without warranty of any kind. 1023238417 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Support Services are for informational purposes only.