Organization
LIFE CARE HOME SERVICES OF NORTHWESTERN PENNSYLVANIA LLP
Active
Other names
Great Lakes Home Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY L DUBOWSKI MSN (PRESIDENT)
(814) 877-6121
Entity
Organization
Contact information
Practice address
1700 PEACH ST, STE 104, ERIE, PA 16501-2134
(814) 877-6121
(814) 877-3027
Mailing address
1647 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 877-6121
(814) 877-3027
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
029138
NY
261QI0500X
Infusion Therapy Clinic/Center
NTP021052100
OH
261QI0500X
Infusion Therapy Clinic/Center
Primary
PP414351L
PA
Other
Enumeration date
12/08/2010
Last updated
03/17/2011
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