Provider Demographics
NPI:1609193341
Name:WILANDLO, INC
Entity Type:Organization
Organization Name:WILANDLO, INC
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-752-5501
Mailing Address - Street 1:320 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1152
Mailing Address - Country:US
Mailing Address - Phone:989-752-5501
Mailing Address - Fax:989-752-5503
Practice Address - Street 1:320 S WASHINGTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48607-1152
Practice Address - Country:US
Practice Address - Phone:989-752-5501
Practice Address - Fax:989-752-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health