Organization
GREAT LAKES PCS 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MONASTIERE (COMPLIANCE, PRIVACY & SAFETY OFCR)
(517) 768-4373
Entity
Organization
Contact information
Practice address
3425 EXECUTIVE PKWY STE 206A, TOLEDO, OH 43606-1334
(419) 536-6748
Mailing address
3010 LYNDON B JOHNSON FWY STE 1100, DALLAS, TX 75234-2712
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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