Organization
COMFORT LIVING HOME L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAVEL YOUNG (ADMINISTRATOR)
(269) 760-1182
Entity
Organization
Contact information
Practice address
2111 N DRAKE RD, KALAMAZOO, MI 49006-1346
(269) 343-3566
Mailing address
2111 N DRAKE RD, KALAMAZOO, MI 49006-1346
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS390292207
MI
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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