Provider Demographics
NPI:1225281223
Name:COMFORT PLUS BATHS, L.L.C.
Entity Type:Organization
Organization Name:COMFORT PLUS BATHS, L.L.C.
Other - Org Name:COMFORT PLUS BATHS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-693-5383
Mailing Address - Street 1:2101 W BROADWAY
Mailing Address - Street 2:SUITE 103, #182
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-7632
Mailing Address - Country:US
Mailing Address - Phone:888-693-5383
Mailing Address - Fax:888-783-0576
Practice Address - Street 1:4025 OLD HIGHWAY 94 SOUTH
Practice Address - Street 2:SUITE E
Practice Address - City:ST. PETERS
Practice Address - State:MO
Practice Address - Zip Code:63304-2841
Practice Address - Country:US
Practice Address - Phone:636-928-4300
Practice Address - Fax:888-783-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies