Provider Demographics
NPI:1952168205
Name:NORTHERN COMFORT SPECIALIZED CARE INC.
Entity Type:Organization
Organization Name:NORTHERN COMFORT SPECIALIZED CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-286-9659
Mailing Address - Street 1:8082W US HIGHWAY 2
Mailing Address - Street 2:
Mailing Address - City:MANISTIQUE
Mailing Address - State:MI
Mailing Address - Zip Code:49854-8978
Mailing Address - Country:US
Mailing Address - Phone:906-341-0371
Mailing Address - Fax:906-341-0373
Practice Address - Street 1:8082W US HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:MANISTIQUE
Practice Address - State:MI
Practice Address - Zip Code:49854-8978
Practice Address - Country:US
Practice Address - Phone:906-341-0371
Practice Address - Fax:906-341-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home