Provider Demographics
NPI:1164728119
Name:COMFORT NURSE CARE
Entity Type:Organization
Organization Name:COMFORT NURSE CARE
Other - Org Name:MICHELLE M KLOS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KLOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-328-3913
Mailing Address - Street 1:1015 SE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-6103
Mailing Address - Country:US
Mailing Address - Phone:954-328-3913
Mailing Address - Fax:954-765-1902
Practice Address - Street 1:1015 SE 16TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-6103
Practice Address - Country:US
Practice Address - Phone:954-328-3913
Practice Address - Fax:954-765-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health