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Organization

GREAT LAKES NET

Active
Other names
GREAT LAKES NET, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN D CUSHMAN (MANAGER)
(616) 406-5310
Entity
Organization

Contact information

Practice address
25 68TH AVE N STE E, COOPERSVILLE, MI 49404-9223
(616) 406-5310
Mailing address
PO BOX 190, ALLENDALE, MI 49401-0190
(616) 406-5310

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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