Organization
GREAT LAKES IN-HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENISE L. REASEOLDENBURG (PRESIDENT/OWNER)
(989) 465-6606
Entity
Organization
Contact information
Practice address
3800 W FIKE RD, COLEMAN, MI 48618-8534
(989) 465-6606
(989) 465-6386
Mailing address
3800 W FIKE RD, COLEMAN, MI 48618-8534
(989) 465-6606
(989) 465-6386
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/17/2010
Last updated
01/17/2010
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