# LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851396022
- **Authorized official:** KATHY DUBOWSKI RN, MSN (PRESIDENT)
- **Authorized official phone:** (814) 877-6121

## Contact information

- **Practice address:** 1700 PEACH ST, STE 104, ERIE, PA 16501-2134
- **Practice address phone:** (814) 877-6121
- **Practice address fax:** (814) 453-2440
- **Mailing address:** PO BOX 641396, PITTSBURGH, PA 15264-1396
- **Mailing address phone:** (814) 877-6121
- **Mailing address fax:** (814) 459-1858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 22656 | OH | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3000008117 | PA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 3000008117 | PA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 02/01/2012