Provider Demographics
NPI:1871631481
Name:WOOLFORD SERVICES
Entity Type:Organization
Organization Name:WOOLFORD SERVICES
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOOLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:360-373-5678
Mailing Address - Street 1:PO BOX 3742
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3742
Mailing Address - Country:US
Mailing Address - Phone:360-373-5678
Mailing Address - Fax:360-373-2263
Practice Address - Street 1:3256 CHICO WAY NW
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1322
Practice Address - Country:US
Practice Address - Phone:360-373-5678
Practice Address - Fax:360-373-2263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIS-011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health