Provider Demographics
NPI:1093101735
Name:BESTLIFE CARE, INC
Entity Type:Organization
Organization Name:BESTLIFE CARE, INC
Other - Org Name:COMFORCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DELOACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-221-3682
Mailing Address - Street 1:525 POOLE AVE
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-5021
Mailing Address - Country:US
Mailing Address - Phone:208-221-3682
Mailing Address - Fax:208-417-0531
Practice Address - Street 1:525 POOLE AVE
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-5021
Practice Address - Country:US
Practice Address - Phone:082-213-6822
Practice Address - Fax:208-417-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care