Organization
GREAT LAKES HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREJ I IROEGBU (PRESIDENT)
(248) 635-7512
Entity
Organization
Contact information
Practice address
21088 WESTLAND DR, SOUTHFIELD, MI 48075-7945
(248) 635-7512
Mailing address
21088 WESTLAND DR, SOUTHFIELD, MI 48075-7945
(248) 635-7512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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