Provider Demographics
NPI:1558748715
Name:COMFORT AND CARE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COMFORT AND CARE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-582-5004
Mailing Address - Street 1:117 BANCROFT BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-5701
Mailing Address - Country:US
Mailing Address - Phone:318-582-5004
Mailing Address - Fax:318-300-4726
Practice Address - Street 1:117 BANCROFT BLVD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-5701
Practice Address - Country:US
Practice Address - Phone:318-582-5004
Practice Address - Fax:318-300-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41835317K343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)