Provider Demographics
NPI:1437462934
Name:WYLAND & CAMP INC
Entity Type:Organization
Organization Name:WYLAND & CAMP INC
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KERSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-672-8020
Mailing Address - Street 1:16693 ROSCOE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-6121
Mailing Address - Country:US
Mailing Address - Phone:818-672-8020
Mailing Address - Fax:818-672-8021
Practice Address - Street 1:16693 ROSCOE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-6121
Practice Address - Country:US
Practice Address - Phone:818-672-8020
Practice Address - Fax:818-672-8021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health