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Organization
COMFORT HEALTHCARE, LLC
Active
Organization
COMFORT HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALIY A KUTSAY (CFO)
(216) 281-9999
Entity
Organization
Contact information
Practice address
8310 DETROIT AVE, CLEVELAND, OH 44102-1806
(216) 281-9999
(216) 281-9990
Mailing address
8310 DETROIT AVE, CLEVELAND, OH 44102-1806
(216) 281-9999
(216) 281-9990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OH03790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165671
ANTHEM BLUE CROSS AND BLUE SHIELD
—
05
—
2618804
—
OH
01
—
398662
WELLCARE OF OHIO, INC.
—
01
—
745457
BUCKEYE COMMUNITY HEALTH PLAN
—
Enumeration date
09/28/2006
Last updated
06/09/2008
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