Organization
GREAT LAKES HEALTHCARE, INC.
Active
Other names
Preceptor Hospice South
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
6211 DURAND AVE STE 102, MOUNT PLEASANT, WI 53406-4956
(262) 381-3931
Mailing address
6211 DURAND AVE STE 102, MOUNT PLEASANT, WI 53406-4956
(262) 381-3931
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
03/23/2026
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