Organization Name: | COMFORCARE FOR MDE |
NPI Number: | 1417253725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS CUNNINGHAM (DIRECTOR) |
Mailing Address: | 1901 N Olden Avenue Ext Suite 14 Ewing |
State: | NJ US |
Postal Code: | 086182111 |
Phone Number: | 6097710083 |
Fax Number: | 6097711183 |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HP0149500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |