Healthcare Provider Details

I. General information

NPI: 1609379155
Provider Name (Legal Business Name): COMFORT KEEPERS ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 03/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 FUTURES DR
ORLANDO FL
32819-9083
US

IV. Provider business mailing address

7350 FUTURES DR
ORLANDO FL
32819-9083
US

V. Phone/Fax

Practice location:
  • Phone: 407-765-1880
  • Fax:
Mailing address:
  • Phone: 407-765-1880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARMAINE A BARNETT
Title or Position: OWNER/MANAGER
Credential: RN
Phone: 321-266-7715