MEDICARE: COMFORT HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC2964	NC

General Provider Information

NPI Number	:	1588842785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	102 WALKER AVENUE
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563-9292
Country	:	US
Telephone Number	:	252-456-0083
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 WALKER AVENUE
Second Line	:
City	:	NORLINA
State	:	NC
Zip	:	27563-9292
Country	:	US
Telephone Number	:	252-456-0083
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. OGBONNAYA UDEH ANYANSO
Credential	:
Telephone Number	:	919-291-6596

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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