Provider Demographics
NPI:1720326788
Name:COMFORT HOME CARE INC
Entity Type:Organization
Organization Name:COMFORT HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICIA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-850-2188
Mailing Address - Street 1:201B S MAIN ST # B
Mailing Address - Street 2:
Mailing Address - City:MC COLL
Mailing Address - State:SC
Mailing Address - Zip Code:29570-2020
Mailing Address - Country:US
Mailing Address - Phone:843-523-5195
Mailing Address - Fax:843-523-9159
Practice Address - Street 1:201B S MAIN ST # B
Practice Address - Street 2:
Practice Address - City:MC COLL
Practice Address - State:SC
Practice Address - Zip Code:29570-2020
Practice Address - Country:US
Practice Address - Phone:843-523-5195
Practice Address - Fax:843-523-9159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-26
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4784251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health