Healthcare Provider Details

I. General information

NPI: 1396931671
Provider Name (Legal Business Name): D AND M COMFORT AND CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1298 HARTFORD TPKE APT 10D
NORTH HAVEN CT
06473-2190
US

IV. Provider business mailing address

1298 HARTFORD TPKE APT 10D
NORTH HAVEN CT
06473-2190
US

V. Phone/Fax

Practice location:
  • Phone: 203-287-5439
  • Fax: 203-287-8793
Mailing address:
  • Phone: 203-287-5439
  • Fax: 203-287-5469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. DELOIS KIMBROUGH
Title or Position: OWNER
Credential:
Phone: 203-215-5732