Provider Demographics
NPI:1922617919
Name:COMFORT CARE THERAPY, INC.
Entity Type:Organization
Organization Name:COMFORT CARE THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLLETE
Authorized Official - Middle Name:
Authorized Official - Last Name:COINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-283-3242
Mailing Address - Street 1:125 S CHAPARRAL CT STE 205
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2263
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 S CHAPARRAL CT STE 205
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2263
Practice Address - Country:US
Practice Address - Phone:714-283-3242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty