# CULLODEH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CULLODEH LLC
- **Other names:** Lansing Comforcare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265824304
- **Legal business name:** CULLODEH LLC
- **Authorized official:** DR. KENNETH ROBERT MITKIN MD (PRESIDENT)
- **Authorized official phone:** (240) 447-1318

## Contact information

- **Practice address:** 405 WEST GREENLAWN AVE, LANSING, MI 48910
- **Practice address phone:** (517) 253-0438
- **Practice address fax:** (517) 580-4224
- **Mailing address:** 405 WEST GREENLAWN AVE, LANSING, MI 48910
- **Mailing address phone:** (517) 253-0438
- **Mailing address fax:** (517) 580-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2015
- **Last updated:** 02/26/2015