Provider Demographics
NPI:1639866346
Name:DENHAM COMFORT LLC
Entity Type:Organization
Organization Name:DENHAM COMFORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-321-2218
Mailing Address - Street 1:11402 ROSEDALE AVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6495
Mailing Address - Country:US
Mailing Address - Phone:225-321-2218
Mailing Address - Fax:225-289-7433
Practice Address - Street 1:11402 ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-6495
Practice Address - Country:US
Practice Address - Phone:225-321-2218
Practice Address - Fax:225-289-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)