Provider Demographics
NPI:1639587637
Name:COMFORT DME LLC
Entity Type:Organization
Organization Name:COMFORT DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEBIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-945-9107
Mailing Address - Street 1:10645 W WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-8009
Mailing Address - Country:US
Mailing Address - Phone:313-945-9107
Mailing Address - Fax:
Practice Address - Street 1:10645 W WARREN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-8009
Practice Address - Country:US
Practice Address - Phone:313-945-9107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies