# GREAT LAKES HOME HEALTHCARE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1417374075
- **Authorized official:** JAMES A HARVEY MSPT (PRESIDENT)
- **Authorized official phone:** (231) 421-5036

## Contact information

- **Practice address:** 3281 RACQUET CLUB DR UNIT A, TRAVERSE CITY, MI 49684-4701
- **Practice address phone:** (231) 421-5036
- **Mailing address:** 3529 BRAYTON LN, TRAVERSE CITY, MI 49685-7444
- **Mailing address phone:** (123) 164-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 01/09/2024