Provider Demographics
NPI:1962458059
Name:COMFORT LIVING SERVICES, INC.
Entity Type:Organization
Organization Name:COMFORT LIVING SERVICES, INC.
Other - Org Name:COMFORT LIVING HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-735-6700
Mailing Address - Street 1:10101 S PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6929
Mailing Address - Country:US
Mailing Address - Phone:405-735-6700
Mailing Address - Fax:405-735-6701
Practice Address - Street 1:10101 S PENNSYLVANIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6929
Practice Address - Country:US
Practice Address - Phone:405-735-6700
Practice Address - Fax:405-735-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7819251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health