Organization
GREAT LAKES HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L DEARY III (CEO)
(517) 780-9500
Entity
Organization
Contact information
Practice address
900 COOPER STREET, JACKSON, MI 49202-3398
(517) 780-9500
(517) 780-9700
Mailing address
900 COOPER STREET, JACKSON, MI 49202-3398
(517) 780-9500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874400145
—
MI
Enumeration date
12/09/2005
Last updated
09/09/2020
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