# GREAT LAKES PERSONAL CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295111227
- **Authorized official:** LINDA COLEMAN CLEVELAND (PRESIDENT)
- **Authorized official phone:** (877) 954-5727

## Contact information

- **Practice address:** 2009 W GLEN PARK AVE, SUITE B, GRIFFITH, IN 46319-3735
- **Practice address phone:** (877) 954-5727
- **Practice address fax:** (866) 941-6921
- **Mailing address:** 2158 45TH ST, \#245, HIGHLAND, IN 46322-3742
- **Mailing address phone:** (877) 954-5727
- **Mailing address fax:** (866) 941-6921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | 140129981 | IN | — |
| 253Z00000X | In Home Supportive Care Agency | 140129981 | IN | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 08/04/2015