Organization
COMFORT CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW VILENCHIK (PRESIDENT)
(763) 201-9565
Entity
Organization
Contact information
Practice address
5747 W BROADWAY AVE, CRYSTAL, MN 55428-3572
(763) 201-9565
(208) 694-7048
Mailing address
5747 W BROADWAY AVE, CRYSTAL, MN 55428-3572
(763) 201-9565
(208) 694-7048
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
338319
MN
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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