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Organization

GREAT LAKES HOME CARE LLC

Active
Other names
Great Lakes Home Nursing Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE LYNN CLOYD (MBR)
(248) 615-2085
Entity
Organization

Contact information

Practice address
23534 STONEHENGE BLVD, NOVI, MI 48375-3773
(248) 615-2085
Mailing address
PO BOX 441, NOVI, MI 48376-0441

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/16/2008
Last updated
02/04/2010
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