Healthcare Provider Details

I. General information

NPI: 1962238030
Provider Name (Legal Business Name): MT. PLEASANT COMFORT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CHURCHILL BLVD
MT PLEASANT MI
48858-9193
US

IV. Provider business mailing address

1945 CHURCHILL BLVD
MT PLEASANT MI
48858-9193
US

V. Phone/Fax

Practice location:
  • Phone: 989-773-7001
  • Fax:
Mailing address:
  • Phone: 989-773-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. KORY JOHN FEETHAM
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 810-931-1961