# GREAT LAKES HOME HEALTH CARE , LLC

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

## Provider details

- **NPI number:** 1578769527
- **Authorized official:** BERNADETTE MANUEL R.N.B.S.N (OWNER - CEO)
- **Authorized official phone:** (586) 558-2950

## Contact information

- **Practice address:** 28800 RYAN RD, SUITE 325, WARREN, MI 48092-4272
- **Practice address phone:** (586) 558-2950
- **Practice address fax:** (586) 620-6019
- **Mailing address:** 28800 RYAN RD, SUITE 325, WARREN, MI 48092-4272
- **Mailing address phone:** (586) 558-2950
- **Mailing address fax:** (586) 620-6019

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 07/30/2009