Provider Demographics
NPI:1982030086
Name:AT HOME COMFORT
Entity Type:Organization
Organization Name:AT HOME COMFORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:KULYNYCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-625-2015
Mailing Address - Street 1:10081B KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-3445
Mailing Address - Country:US
Mailing Address - Phone:540-625-2015
Mailing Address - Fax:540-625-2016
Practice Address - Street 1:10081B KINGS HWY
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-3445
Practice Address - Country:US
Practice Address - Phone:540-625-2015
Practice Address - Fax:540-625-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-14998311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home