Organization Name: | SOUTHERN COMFORTS, LLC |
NPI Number: | 1538475157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES M TAYES (OWNER) |
Mailing Address: | 118 S Dixie Ave Ste 1 Cookeville |
State: | TN US |
Postal Code: | 385013415 |
Phone Number: | 9315200968 |
Fax Number: | 9315200971 |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | L000000006229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |