Provider Demographics
NPI:1184851149
Name:ACCESS COMFORT
Entity Type:Organization
Organization Name:ACCESS COMFORT
Other - Org Name:ACCESS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:RAYNORDO
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-353-0345
Mailing Address - Street 1:6690 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-5930
Mailing Address - Country:US
Mailing Address - Phone:414-353-0345
Mailing Address - Fax:414-353-0345
Practice Address - Street 1:6690 N 56TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-5930
Practice Address - Country:US
Practice Address - Phone:414-353-0345
Practice Address - Fax:414-353-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty