| Organization Name: | COMFORT CARE HOSPICE |
| NPI Number: | 1487935672 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGIE DELORIS POTTS (OWNER/ADMINISTRATOR) |
| Mailing Address: | 88 Heritage St Baxley |
| State: | GA US |
| Postal Code: | 315130012 |
| Phone Number: | 9123674146 |
| Fax Number: | 9123674147 |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 03/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 001-346-H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |