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Contact Information

GREAT LAKES FAMILY SERVICES
17121 REDFORD ST APT 112
DETROIT, MI48219-3244
 Phone: 313-785-3020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Home Health Aide

374U00000X
 

Meals

174200000X
 

Transportation Network Company

342000000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for GREAT LAKES FAMILY SERVICES

NPI # 1649137688
LBN Legal business name GREAT LAKES FAMILY SERVICES
Authorized official DIAMOND JENKINS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2026
Last updated 01/24/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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