Organization
GREAT LAKES HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HOEHN (COO)
(414) 962-5250
Entity
Organization
Contact information
Practice address
5150 N PORT WASHINGTON RD STE 152, GLENDALE, WI 53217-5453
(262) 349-5753
Mailing address
5150 N PORT WASHINGTON RD STE 152, GLENDALE, WI 53217-5453
(414) 885-0909
(414) 885-0922
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
02/07/2024
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