Organization · Type 2 NPI

Great Lakes Home Care Inc.

Nursing Care Agency · Crystal, MN

NPI number 1316217219 Active

Practice location

6000 Bass Lake Rd Ste 104
Crystal, MN 55429-2753

Fax (763) 535-4288

Specialties and licenses

TaxonomyCodeLicense
Nursing Care Agency Primary 251J00000X353271 (MN)
In Home Supportive Care Agency 253Z00000X353271 (MN)

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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About NPI 1316217219

Great Lakes Home Care Inc.'s National Provider Identifier is 1316217219, issued on Jan 9, 2012. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Crystal, MN. The record was last updated on Jan 9, 2012.