Provider Demographics
NPI:1679246185
Name:CARING COMFORT OF GEORGIA LLC
Entity Type:Organization
Organization Name:CARING COMFORT OF GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:I
Authorized Official - Last Name:OLOFINDAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-650-4058
Mailing Address - Street 1:1069 KNIGHTS BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-4633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1069 KNIGHTS BRIDGE CT
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-4633
Practice Address - Country:US
Practice Address - Phone:813-650-4058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care