Provider Demographics
NPI:1932878972
Name:COMFORTABLE LIVING HOME CARE LLC
Entity Type:Organization
Organization Name:COMFORTABLE LIVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-291-6909
Mailing Address - Street 1:3402 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2908
Mailing Address - Country:US
Mailing Address - Phone:763-291-6909
Mailing Address - Fax:
Practice Address - Street 1:3402 RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2908
Practice Address - Country:US
Practice Address - Phone:763-291-6909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care