# GREATLAKES HOMECARE CENTER LLC

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

## Provider details

- **NPI number:** 1568384113
- **Authorized official:** ANDY IRBAHIM (OWNER)
- **Authorized official phone:** (603) 289-4836

## Contact information

- **Practice address:** 42188 TODDMARK LN APT 17, CLINTON TOWNSHIP, MI 48038-5498
- **Practice address phone:** (603) 289-4836
- **Mailing address:** 42188 TODDMARK LN APT 17, CLINTON TOWNSHIP, MI 48038-5498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2026
- **Last updated:** 07/27/2026