Provider Demographics
NPI:1801531892
Name:COMPREHENSIVE WOUND CARE LLC
Entity type:Organization
Organization Name:COMPREHENSIVE WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:210-501-8181
Mailing Address - Street 1:243 STEELE RD APT 113
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1720
Mailing Address - Country:US
Mailing Address - Phone:860-703-3177
Mailing Address - Fax:860-703-3179
Practice Address - Street 1:71 RAYMOND RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2211
Practice Address - Country:US
Practice Address - Phone:860-703-3177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty