Provider Demographics
NPI:1811392046
Name:MSL HOME CARE, INC
Entity Type:Organization
Organization Name:MSL HOME CARE, INC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-282-8606
Mailing Address - Street 1:830 N 109TH ST
Mailing Address - Street 2:SUITE 27
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3754
Mailing Address - Country:US
Mailing Address - Phone:414-282-8606
Mailing Address - Fax:866-610-0629
Practice Address - Street 1:830 N 109TH ST
Practice Address - Street 2:SUITE 27
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3754
Practice Address - Country:US
Practice Address - Phone:414-282-8606
Practice Address - Fax:866-610-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care