Provider Demographics
NPI:1437538709
Name:EZE, COMFORT
Entity Type:Individual
Prefix:
First Name:COMFORT
Middle Name:
Last Name:EZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 TRIMBLEFIELDS DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-3116
Mailing Address - Country:US
Mailing Address - Phone:443-456-3025
Mailing Address - Fax:443-456-3025
Practice Address - Street 1:427 TRIMBLEFIELDS DR
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-3116
Practice Address - Country:US
Practice Address - Phone:443-456-3025
Practice Address - Fax:443-456-3025
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 374U00000X, 376J00000X, 376K00000X
MDR3706372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker