# GREAT LAKES CARING HOME HEALTH E MI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes Caring
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578950861
- **Authorized official:** ADAM D. NIELSEN (PRESIDENT AND CEO)
- **Authorized official phone:** (517) 780-9500

## Contact information

- **Practice address:** 19176 HALL RD, SUITE 130, CLINTON TOWNSHIP, MI 48038-6914
- **Practice address phone:** (517) 780-9500
- **Mailing address:** 900 COOPER ST, JACKSON, MI 49202-3398

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2015
- **Last updated:** 05/12/2017