Provider Demographics
NPI:1407023021
Name:COMFORT STAY ASSISTANCE OF FLORENCE LLC
Entity Type:Organization
Organization Name:COMFORT STAY ASSISTANCE OF FLORENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:UNITA
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-610-6679
Mailing Address - Street 1:3602 SAVANNAH GOVE ROAD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541
Mailing Address - Country:US
Mailing Address - Phone:843-610-6679
Mailing Address - Fax:843-676-9482
Practice Address - Street 1:3602 SAVANNAH GOVE ROAD
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:SC
Practice Address - Zip Code:29541
Practice Address - Country:US
Practice Address - Phone:843-610-6679
Practice Address - Fax:843-676-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health