Provider Demographics
NPI:1124563465
Name:DA2, LLC
Entity Type:Organization
Organization Name:DA2, LLC
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER,DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-759-7207
Mailing Address - Street 1:8005 N POINT BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3267
Mailing Address - Country:US
Mailing Address - Phone:336-759-7207
Mailing Address - Fax:336-759-7209
Practice Address - Street 1:8005 N POINT BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3267
Practice Address - Country:US
Practice Address - Phone:336-759-7207
Practice Address - Fax:336-759-7209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care