Provider Demographics
NPI:1760767172
Name:JOHNTRANNIE
Entity Type:Organization
Organization Name:JOHNTRANNIE
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-340-2910
Mailing Address - Street 1:296 W RIDGE PIKE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1790
Mailing Address - Country:US
Mailing Address - Phone:610-340-2910
Mailing Address - Fax:484-902-8359
Practice Address - Street 1:296 W RIDGE PIKE
Practice Address - Street 2:SUITE 206
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1790
Practice Address - Country:US
Practice Address - Phone:610-340-2910
Practice Address - Fax:484-902-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
21863601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health