Provider Demographics
NPI:1467214130
Name:COMFORT HALL SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:COMFORT HALL SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TERRIANN
Authorized Official - Middle Name:CHERISE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-956-8719
Mailing Address - Street 1:74 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NJ
Mailing Address - Zip Code:08079-1746
Mailing Address - Country:US
Mailing Address - Phone:856-956-8719
Mailing Address - Fax:
Practice Address - Street 1:74 WALNUT ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-1746
Practice Address - Country:US
Practice Address - Phone:856-956-8719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management