Provider Demographics
NPI:1265747810
Name:COMFORTS OF HOME ADULT DAYCARE, LLC
Entity type:Organization
Organization Name:COMFORTS OF HOME ADULT DAYCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-445-3173
Mailing Address - Street 1:4317 HIGHWAY P
Mailing Address - Street 2:
Mailing Address - City:HALF WAY
Mailing Address - State:MO
Mailing Address - Zip Code:65663-9130
Mailing Address - Country:US
Mailing Address - Phone:417-445-3173
Mailing Address - Fax:417-445-3173
Practice Address - Street 1:4317 HIGHWAY P
Practice Address - Street 2:
Practice Address - City:HALF WAY
Practice Address - State:MO
Practice Address - Zip Code:65663-9130
Practice Address - Country:US
Practice Address - Phone:417-445-3173
Practice Address - Fax:417-445-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2011-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO27056261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care