MEDICARE: COMFORCARE SENIOR SERVICES, 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	253Z00000X	In Home Supportive Care Agency	253Z00000X	MI

General Provider Information

NPI Number	:	1871896209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORCARE SENIOR SERVICES, INC.

Provider Business Mailing Address
First Line	:	2510 S TELEGRAPH RD
Second Line	:	SUITE 100
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0241
Country	:	US
Telephone Number	:	248-745-9700
Fax Number	:	248-745-9763

Provider Business Practice Location Address
First Line	:	2510 S TELEGRAPH RD
Second Line	:	SUITE 100
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0241
Country	:	US
Telephone Number	:	248-745-9700
Fax Number	:	248-745-9763

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK ARMSTRONG
Credential	:
Telephone Number	:	248-745-9700

Provider Enumeration Date	:	12/07/2010
Last Update Date	:	12/07/2010

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