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Great Lakes Visiting Physicians Pc
Home Health Agency in Ypsilanti, Michigan
NPI 1760752703

Great Lakes Visiting Physicians Pc is a Home Health Agency based in Ypsilanti, MI. Great Lakes Visiting Physicians Pc practices in Ypsilanti, MI. The NPI Number for Great Lakes Visiting Physicians Pc is 1760752703 and holds a License No. 4301057059 (Michigan).

The current practice location address for Great Lakes Visiting Physicians Pc is 10 N Hewitt Rd, Ypsilanti, MI and can be reached out via phone at 734-709-3319 and via fax at 734-212-1541.

Location: 10 N Hewitt Rd, Ypsilanti, MI, 48197-4496
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760752703
Provider Name
Great Lakes Visiting Physicians Pc
Credential
Provider Entity Type
Organization
Address
10 N Hewitt Rd, Ypsilanti, MI, 48197-4496
Phone Number
734-709-3319
Fax Number
734-212-1541
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0106369221 01 MI BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
10 N Hewitt Rd
City
Ypsilanti
State
Michigan
Zip
48197-4496
Phone Number
734-709-3319
Fax Number
734-212-1541
person
Provider Business Mailing Address Details
Address
10 N Hewitt Rd
City
Ypsilanti
State
Michigan
Zip
48197-4496
Phone Number
734-709-3319
Fax Number
734-212-1541
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
4301057059 (Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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