Provider Demographics
NPI:1023488822
Name:COMPLETE COMFORT HEALTH LLC
Entity type:Organization
Organization Name:COMPLETE COMFORT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:JINENE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:ADN
Authorized Official - Phone:313-575-7047
Mailing Address - Street 1:46036 MICHIGAN AVE
Mailing Address - Street 2:SUITE 297
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2304
Mailing Address - Country:US
Mailing Address - Phone:313-575-7047
Mailing Address - Fax:
Practice Address - Street 1:46036 MICHIGAN AVE
Practice Address - Street 2:SUITE 297
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2304
Practice Address - Country:US
Practice Address - Phone:313-575-7047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health