Provider Demographics
NPI:1891496394
Name:CATHERINE'S COMFORT AT HOME CARE LLC
Entity Type:Organization
Organization Name:CATHERINE'S COMFORT AT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-215-7059
Mailing Address - Street 1:685 SC HIGHWAY 283
Mailing Address - Street 2:
Mailing Address - City:PLUM BRANCH
Mailing Address - State:SC
Mailing Address - Zip Code:29845-2228
Mailing Address - Country:US
Mailing Address - Phone:803-215-7059
Mailing Address - Fax:
Practice Address - Street 1:685 SC HIGHWAY 283
Practice Address - Street 2:
Practice Address - City:PLUM BRANCH
Practice Address - State:SC
Practice Address - Zip Code:29845-2228
Practice Address - Country:US
Practice Address - Phone:803-215-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care