Organization
SHERIDAN HOME CARE
Active
Other names
ComForCare Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN STOL M.DIV (VICE PRESIDENT)
(989) 831-5000
Entity
Organization
Contact information
Practice address
312 E MAIN ST, STANTON, MI 48888-8901
(989) 831-5000
(989) 831-5009
Mailing address
312 E MAIN ST, STANTON, MI 48888-8901
(989) 831-5000
(989) 831-5009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25
HOME CARE
MI
Enumeration date
01/12/2015
Last updated
01/12/2015
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