1376828228 GREAT LAKES SENIOR CARE, LLC
Physical Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- GREAT LAKES SENIOR CARE, LLC
- Enumeration Date
- October 11, 2011
- Last Update
- October 11, 2011
- Authorized Official
- MR. JAMES R VANVLIET
MANAGING PARTNER
Phone: (219) 841-7559
Practice Location
- Address
- 6040 LUTE RD
PORTAGE, IN 463685008 - Phone
- (219) 841-7559
- Fax
- (219) 763-4858
Mailing Address
- Address
- 6040 LUTE RD
PORTAGE, IN 463685008 - Phone
- (219) 841-7559
- Fax
- (219) 763-4858
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Residential Treatment Facility, Physical Disabilities | 110126101 | IN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010300000 A | 05 | IN | N/A |
Frequently Asked Questions
What is GREAT LAKES SENIOR CARE, LLC's NPI number?
GREAT LAKES SENIOR CARE, LLC's NPI number is 1376828228.
Which doctor has NPI number 1376828228?
The doctor with NPI number 1376828228 is GREAT LAKES SENIOR CARE, LLC.
What is GREAT LAKES SENIOR CARE, LLC's practice address?
GREAT LAKES SENIOR CARE, LLC's practice address is 6040 LUTE RD, PORTAGE, IN, 463685008.
Which doctor practices at 6040 LUTE RD, PORTAGE, IN, 463685008?
GREAT LAKES SENIOR CARE, LLC practices at 6040 LUTE RD, PORTAGE, IN, 463685008.
What is GREAT LAKES SENIOR CARE, LLC's phone number?
GREAT LAKES SENIOR CARE, LLC's phone number is (219) 841-7559.
Who is (219) 841-7559?
(219) 841-7559 is the phone number for GREAT LAKES SENIOR CARE, LLC.
What is GREAT LAKES SENIOR CARE, LLC's specialty?
GREAT LAKES SENIOR CARE, LLC's specialty is Physical Disabilities Residential Treatment Facility.
What type of doctor is GREAT LAKES SENIOR CARE, LLC?
GREAT LAKES SENIOR CARE, LLC is a Physical Disabilities Residential Treatment Facility.
Is GREAT LAKES SENIOR CARE, LLC a Residential Treatment Facility, Physical Disabilities?
Yes, GREAT LAKES SENIOR CARE, LLC is a Residential Treatment Facility, Physical Disabilities.
Is GREAT LAKES SENIOR CARE, LLC still practicing?
Yes, GREAT LAKES SENIOR CARE, LLC is currently practicing.
Is GREAT LAKES SENIOR CARE, LLC accepting new patients?
GREAT LAKES SENIOR CARE, LLC may be accepting new patients. Please call their office at (219) 841-7559 to inquire about availability.
Is NPI 1376828228 still active?
Yes, NPI 1376828228 is currently active.
Where does GREAT LAKES SENIOR CARE, LLC practice?
GREAT LAKES SENIOR CARE, LLC practices in PORTAGE, IN.