Provider Demographics
NPI:1568170363
Name:SHERRY'S COMFORT CARE LLC
Entity Type:Organization
Organization Name:SHERRY'S COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-564-4195
Mailing Address - Street 1:4468 OAKWOOD RD APT C
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30566-4312
Mailing Address - Country:US
Mailing Address - Phone:470-564-4195
Mailing Address - Fax:
Practice Address - Street 1:4468 OAKWOOD RD APT C
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:GA
Practice Address - Zip Code:30566-4312
Practice Address - Country:US
Practice Address - Phone:470-564-4195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care