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NPI 1922898360 · live from the CMS NPI Registry

Great Lakes Healthcare, INC.

Hospice Care, Community Based in Mount Pleasant, WI. National Provider Identifier 1922898360, active.

NPI record

NPI1922898360 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location6211 Durand Ave Ste 102, Mount Pleasant, WI 53406
Practice phone262-381-3931
EnumeratedMay 8, 2025
Last updatedMarch 23, 2026
Authorized officialAmber Tueller, Secretary
Other namesPreceptor Hospice South

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.