Provider Demographics
NPI:1457503062
Name:CAMILLUS CORP
Entity Type:Organization
Organization Name:CAMILLUS CORP
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:LAMACCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-321-4010
Mailing Address - Street 1:1118 CENTENNIAL WAY
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-9280
Mailing Address - Country:US
Mailing Address - Phone:517-321-4010
Mailing Address - Fax:800-526-6107
Practice Address - Street 1:1118 CENTENNIAL WAY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9280
Practice Address - Country:US
Practice Address - Phone:517-321-4010
Practice Address - Fax:800-526-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health