Organization
GREAT LAKES CARING HOME HEALTH C MI, LLC
Active
Other names
Great Lakes Caring
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM D NIELSEN (VP)
(517) 780-9500
Entity
Organization
Contact information
Practice address
3100 WEST RD, BUILDING 2 SUITE 110, EAST LANSING, MI 48823-6369
(517) 780-9500
Mailing address
900 COOPER ST, JACKSON, MI 49202-3398
(517) 780-9500
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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