# COMFORTER CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578845095
- **Authorized official:** THEOPHILUS EBOSI MBA HEALTHCARE MAGT. (CEO)
- **Authorized official phone:** (517) 974-9012

## Contact information

- **Practice address:** 4830 MALPASO, LANSING, MI 48917-1554
- **Practice address phone:** (517) 974-9012
- **Practice address fax:** (517) 886-5194
- **Mailing address:** 4830 MALPASO, LANSING, MI 48917-1554
- **Mailing address phone:** (517) 974-9012
- **Mailing address fax:** (517) 886-5194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 09/10/2011
- **Last updated:** 09/10/2011