OrganizationActive
Great Lakes Adult Day Services, LLC
NPI 1053835736 · Hospice Registered Nurse · Livonia, MI
Provider details
- NPI number
- 1053835736
- Entity type
- Organization
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Kenyatta Legette, Administrator(313) 530-1161
Specialties & taxonomies
Nursing Service Providers
- Community Health Registered Nurse163WC1500X
Nursing Service Providers
- Continence Care Registered Nurse163WC2100X
Nursing Service Providers
- Gerontology Registered Nurse163WG0600X
Nursing Service Providers
- Nutrition Support Registered Nurse163WN1003X
Nursing Service Providers
- Pain Management Registered Nurse163WP0000X
Nursing Service Providers
Practice location
19194 Augusta Ct
Livonia, MI 48152-4016
Phone: (313) 530-1161
Approximate (ZIP-level) locationGet directions
Mailing address
19194 Augusta Ct
Livonia, MI 48152-4016
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.