Provider Demographics
NPI:1538507249
Name:COMAI AFC
Entity Type:Organization
Organization Name:COMAI AFC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:COMAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-258-2070
Mailing Address - Street 1:2158 M 66 SE
Mailing Address - Street 2:
Mailing Address - City:KALKASKA
Mailing Address - State:MI
Mailing Address - Zip Code:49646-9675
Mailing Address - Country:US
Mailing Address - Phone:231-258-2070
Mailing Address - Fax:231-258-9010
Practice Address - Street 1:2158 M 66 SE
Practice Address - Street 2:
Practice Address - City:KALKASKA
Practice Address - State:MI
Practice Address - Zip Code:49646-9675
Practice Address - Country:US
Practice Address - Phone:231-258-2070
Practice Address - Fax:231-258-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF400304490310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility