Provider Demographics
NPI:1851949770
Name:COMFORT HOME CARE SERVICES
Entity Type:Organization
Organization Name:COMFORT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-421-4579
Mailing Address - Street 1:4043 NORTHRIDGE WAY APT 7
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3243
Mailing Address - Country:US
Mailing Address - Phone:404-421-4579
Mailing Address - Fax:
Practice Address - Street 1:4043 NORTHRIDGE WAY APT 7
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3243
Practice Address - Country:US
Practice Address - Phone:404-421-4579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health