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Great Lakes Hospice Llc
Community Based Hospice Care Agency in Glendale, Wisconsin
NPI 1205433778

Great Lakes Hospice Llc is a Community Based Hospice Care Agency based in Glendale, WI. Great Lakes Hospice Llc practices in Glendale, WI. The NPI Number for Great Lakes Hospice Llc is 1205433778 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Hospice Llc is 5150 N Port Washington Rd Ste 152, Glendale, WI and can be reached out via phone at 262-349-5753.

Location: 5150 N Port Washington Rd Ste 152, Glendale, WI, 53217-5453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205433778
Provider Name
Great Lakes Hospice Llc
Credential
Provider Entity Type
Organization
Address
5150 N Port Washington Rd Ste 152, Glendale, WI, 53217-5453
Phone Number
262-349-5753
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5150 N Port Washington Rd Ste 152
City
Glendale
State
Wisconsin
Zip
53217-5453
Phone Number
262-349-5753
Fax Number
person
Provider Business Mailing Address Details
Address
5150 N Port Washington Rd Ste 152
City
Glendale
State
Wisconsin
Zip
53217-5453
Phone Number
262-349-5753
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
()
Definition
Definition to come...
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