Provider Demographics
NPI:1811523517
Name:COMFORT ADULT DAYCARE LLC
Entity type:Organization
Organization Name:COMFORT ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEBESAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRMALUL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:651-468-4729
Mailing Address - Street 1:1201 37TH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2005
Mailing Address - Country:US
Mailing Address - Phone:651-468-4729
Mailing Address - Fax:612-224-9973
Practice Address - Street 1:1201 37TH AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2005
Practice Address - Country:US
Practice Address - Phone:651-468-4729
Practice Address - Fax:612-224-9973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care