Organization
GREAT LAKES HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY MCRAE-LAHAIE (OWNER)
(313) 900-6686
Entity
Organization
Contact information
Practice address
20213 BOARDWALK BLVD, SOUTHFIELD, MI 48075-1190
(470) 804-3054
Mailing address
20213 BOARDWALK BLVD, SOUTHFIELD, MI 48075-1190
(470) 804-3054
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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