NPI 1265103717
Great Lakes at Home Care, INC.
Practice location
- Address
- Suzette Sorrells 1005 Campbell Street, Valparaiso, IN 46385
- Phone
- (219) 227-0628
- Mailing address
- PO Box 1611, Valparaiso, IN 46384-1611
Authorised official
- Name
- Suzette Sorrells
- Title
- Owner
- Phone
- (219) 227-0628
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1265103717
- Entity type
- Organization
- NPI issued
- 24 Sep 2021
- Record last updated
- 3 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.