Provider Demographics
NPI:1669143921
Name:COMFORT CARE SERVICES 247 LLC
Entity type:Organization
Organization Name:COMFORT CARE SERVICES 247 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YETUNDE
Authorized Official - Middle Name:ITUNU
Authorized Official - Last Name:ALADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-895-8579
Mailing Address - Street 1:8045 TARA BLVD STE 154
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-3294
Mailing Address - Country:US
Mailing Address - Phone:770-615-2660
Mailing Address - Fax:
Practice Address - Street 1:37 PORTLAND PL
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-7037
Practice Address - Country:US
Practice Address - Phone:678-895-8579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care