Provider Demographics
NPI:1992135313
Name:BAVARIAN COMFORT CARE
Entity type:Organization
Organization Name:BAVARIAN COMFORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-777-7776
Mailing Address - Street 1:5366 W ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48722-9671
Mailing Address - Country:US
Mailing Address - Phone:989-777-7776
Mailing Address - Fax:989-777-7700
Practice Address - Street 1:5366 W ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:MI
Practice Address - Zip Code:48722-9671
Practice Address - Country:US
Practice Address - Phone:989-777-7776
Practice Address - Fax:989-777-7700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH7303277073104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances