MEDICARE: COMFORTABLY YOURS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	540E007720	OTHER	MI	BLUE CROSS

General Provider Information

NPI Number	:	1447369053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTABLY YOURS INC

Provider Business Mailing Address
First Line	:	23404 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-3424
Country	:	US
Telephone Number	:	586-776-7429
Fax Number	:

Provider Business Practice Location Address
First Line	:	23404 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-3424
Country	:	US
Telephone Number	:	586-776-7429
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ARTIE E GUTZMAN
Credential	:
Telephone Number	:	586-776-7429

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	12/28/2021

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Directions to “COMFORTABLY YOURS INC ” Practice Location

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