Organization Name: | PEM COMFORT CARE, LLC |
NPI Number: | 1063752202 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA COMFORT (ADMINISTRATOR) |
Mailing Address: | 1006 Arlington Ln Daly City |
State: | CA US |
Postal Code: | 940143498 |
Phone Number: | 4155191110 |
Fax Number: | 7024410832 |
NPI Enumeration Date: | 02/25/2013 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 476551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |