Provider Demographics
NPI:1639468200
Name:COMOMITIES, LLC
Entity Type:Organization
Organization Name:COMOMITIES, LLC
Other - Org Name:MOTHER NURTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CERISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:CLC
Authorized Official - Phone:859-335-5949
Mailing Address - Street 1:2891 RICHMOND RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1720
Mailing Address - Country:US
Mailing Address - Phone:859-335-5949
Mailing Address - Fax:859-269-0863
Practice Address - Street 1:2891 RICHMOND RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1720
Practice Address - Country:US
Practice Address - Phone:859-335-5949
Practice Address - Fax:859-269-0863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies