Healthcare Provider Details

I. General information

NPI: 1780913046
Provider Name (Legal Business Name): THE COMFORT ZONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 12/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 DIVISION DR
LELAND NC
28451-7672
US

IV. Provider business mailing address

PO BOX 1251
LELAND NC
28451-1251
US

V. Phone/Fax

Practice location:
  • Phone: 910-371-3196
  • Fax: 910-371-3198
Mailing address:
  • Phone: 910-371-3196
  • Fax: 910-371-3198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. WILLIAM CARLOS FELICIANO
Title or Position: OWNER
Credential: CFTS
Phone: 910-371-3196