Healthcare Provider Details

I. General information

NPI: 1275985202
Provider Name (Legal Business Name): COMFORTING CARE IN-HOME HEALTH CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2016
Last Update Date: 07/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 KAISER LAKE RD
NATCHEZ MS
39120-8936
US

IV. Provider business mailing address

159 KAISER LAKE RD
NATCHEZ MS
39120-8936
US

V. Phone/Fax

Practice location:
  • Phone: 601-493-3525
  • Fax:
Mailing address:
  • Phone: 601-493-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number253Z000000
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateMS

VIII. Authorized Official

Name: MRS. CAROLYN HILL-FORD ANDERSON
Title or Position: OWNER
Credential:
Phone: 601-493-3525