Organization · Type 2 NPI

Great Lakes Hospice LLC

Community Based Hospice Care Agency · Glendale, WI

NPI number 1205433778 Active

Practice location

5150 N Port Washington Rd Ste 152
Glendale, WI 53217-5453

Specialties and licenses

TaxonomyCodeLicense
Community Based Hospice Care Agency Primary 251G00000XNone listed

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About NPI 1205433778

Great Lakes Hospice LLC's National Provider Identifier is 1205433778, issued on Oct 7, 2020. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Glendale, WI. The record was last updated on Feb 7, 2024.