Provider Demographics
NPI:1851694434
Name:J & M MULLEN ENTERPRISE, LLC
Entity Type:Organization
Organization Name:J & M MULLEN ENTERPRISE, LLC
Other - Org Name:COMFORCARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-842-4088
Mailing Address - Street 1:90 WASHINGTON ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3744
Mailing Address - Country:US
Mailing Address - Phone:603-842-4088
Mailing Address - Fax:603-842-4082
Practice Address - Street 1:90 WASHINGTON ST
Practice Address - Street 2:SUITE 212
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3744
Practice Address - Country:US
Practice Address - Phone:603-842-4088
Practice Address - Fax:603-842-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03653253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care