Provider Demographics
NPI:1134950611
Name:CYRICOMFORT HOME HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:CYRICOMFORT HOME HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COMFORTGLADYS
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-709-0042
Mailing Address - Street 1:6520 GOLF MANOR CT
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-3624
Mailing Address - Country:US
Mailing Address - Phone:267-709-0042
Mailing Address - Fax:937-540-9170
Practice Address - Street 1:6520 GOLF MANOR CT
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-3624
Practice Address - Country:US
Practice Address - Phone:267-709-0042
Practice Address - Fax:937-540-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health