Healthcare Provider Details

I. General information

NPI: 1942974084
Provider Name (Legal Business Name): COMFORT LIFE CARE AMDC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 TROY HILL DR
ELKRIDGE MD
21075-7057
US

IV. Provider business mailing address

103 JASCOT CT
REISTERSTOWN MD
21136-5109
US

V. Phone/Fax

Practice location:
  • Phone: 443-449-1586
  • Fax:
Mailing address:
  • Phone:
  • 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: PARMJIT KAUR
Title or Position: OWNER
Credential:
Phone: 443-449-1586