Healthcare Provider Details

I. General information

NPI: 1659713451
Provider Name (Legal Business Name): COMFORT HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 W CRAIG RD SUITE C
NORTH LAS VEGAS NV
89032-5115
US

IV. Provider business mailing address

3435 W CRAIG RD SUITE C
NORTH LAS VEGAS NV
89032-5115
US

V. Phone/Fax

Practice location:
  • Phone: 702-538-8814
  • Fax: 702-560-0488
Mailing address:
  • Phone: 702-538-8814
  • Fax: 702-560-0488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number7599PCS-0
License Number StateNV

VIII. Authorized Official

Name: MRS. DAWN PENNEPACKER
Title or Position: PRESIDENT
Credential:
Phone: 702-588-4532