Provider Demographics
NPI:1790523520
Name:MOTHER AND DAUGHTERS COMFORT KEEPERS LLC
Entity type:Organization
Organization Name:MOTHER AND DAUGHTERS COMFORT KEEPERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:MONTAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-447-5160
Mailing Address - Street 1:PO BOX 321305
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-0023
Mailing Address - Country:US
Mailing Address - Phone:810-447-5160
Mailing Address - Fax:
Practice Address - Street 1:9284 JILL MARIE LN
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-8613
Practice Address - Country:US
Practice Address - Phone:810-447-5160
Practice Address - Fax:810-644-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health