Provider Demographics
NPI:1578160834
Name:SS COMFORT CARE SERVICES LLC
Entity Type:Organization
Organization Name:SS COMFORT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:SUTTON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-465-5955
Mailing Address - Street 1:24020 WEDGEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-5871
Mailing Address - Country:US
Mailing Address - Phone:313-465-5955
Mailing Address - Fax:
Practice Address - Street 1:24020 WEDGEWOOD CIR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-5871
Practice Address - Country:US
Practice Address - Phone:313-465-5955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health