Healthcare Provider Details

I. General information

NPI: 1487894408
Provider Name (Legal Business Name): COMFORT CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2009
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 EAST THIRD STREET
PEMBROKE NC
28372-8684
US

IV. Provider business mailing address

PO BOX 3158
PEMBROKE NC
28372-3158
US

V. Phone/Fax

Practice location:
  • Phone: 910-740-3509
  • Fax:
Mailing address:
  • Phone: 910-740-3509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RHONDA FAYE HUNT
Title or Position: MANAGING MEMBER/PRESIDENT
Credential:
Phone: 910-740-3509