Provider Demographics
NPI:1912459165
Name:SICILIAN COMFORT CARE AT HOME AND STAFFING LLC
Entity Type:Organization
Organization Name:SICILIAN COMFORT CARE AT HOME AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SICILY
Authorized Official - Middle Name:N
Authorized Official - Last Name:UNAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-726-3215
Mailing Address - Street 1:23 PERKINS ST
Mailing Address - Street 2:#28
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2741
Mailing Address - Country:US
Mailing Address - Phone:978-726-3215
Mailing Address - Fax:
Practice Address - Street 1:23 PERKINS ST
Practice Address - Street 2:#28
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2741
Practice Address - Country:US
Practice Address - Phone:978-726-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health