Organization · Type 2 NPI

Great Lakes Senior Care, LLC

Physical Disabilities Residential Treatment Facility · Portage, IN

NPI number 1376828228 Active

Practice location

6040 Lute Rd
Portage, IN 46368-5008

Call (219) 841-7559 Map

Fax (219) 763-4858

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X110126101 (IN)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

52 other providers at this address

About NPI 1376828228

Great Lakes Senior Care, LLC's National Provider Identifier is 1376828228, issued on Oct 11, 2011. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Portage, IN. The record was last updated on Oct 11, 2011.