Organization
CULLODEH LLC
Active
Parent organization
CULLODEH LLC
Other names
Lansing Comforcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CULLODEH LLC
Authorized official
DR. KENNETH ROBERT MITKIN MD (PRESIDENT)
(240) 447-1318
Entity
Organization
Contact information
Practice address
405 WEST GREENLAWN AVE, LANSING, MI 48910
(517) 253-0438
(517) 580-4224
Mailing address
405 WEST GREENLAWN AVE, LANSING, MI 48910
(517) 253-0438
(517) 580-4224
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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