Provider Demographics
NPI:1942919311
Name:FORCHA, COMFORT N
Entity Type:Individual
Prefix:
First Name:COMFORT
Middle Name:N
Last Name:FORCHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9321 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5413
Mailing Address - Country:US
Mailing Address - Phone:240-486-6865
Mailing Address - Fax:
Practice Address - Street 1:9321 HOBART ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-5413
Practice Address - Country:US
Practice Address - Phone:240-486-6865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002542374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide