Organization
GREAT LAKES HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM STESEL (MANAGER)
(773) 819-2190
Entity
Organization
Contact information
Practice address
2115 E WOODSTOCK PL, MILWAUKEE, WI 53202-1342
(773) 825-3336
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
(177) 381-9219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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