Healthcare Provider Details

I. General information

NPI: 1710391495
Provider Name (Legal Business Name): COMFORT ZONE IN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WILKES ST
HIGH POINT NC
27260-8272
US

IV. Provider business mailing address

2400 WILKES ST
HIGH POINT NC
27260-8272
US

V. Phone/Fax

Practice location:
  • Phone: 336-882-2572
  • Fax:
Mailing address:
  • Phone: 336-882-2572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number250285
License Number StateNC

VIII. Authorized Official

Name: MS. SERENA PARKER
Title or Position: PROPRIETOR
Credential:
Phone: 336-882-2572