Healthcare Provider Details
I. General information
NPI: 1740615962
Provider Name (Legal Business Name): COMFORT TODAY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2013
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 GIFFORD AVE
JAMESTOWN NY
14701-2726
US
IV. Provider business mailing address
560 FAIRMOUNT AVE
JAMESTOWN NY
14701-2749
US
V. Phone/Fax
- Phone: 716-338-0500
- Fax: 716-338-1700
- Phone: 716-483-2876
- Fax: 716-483-2832
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TERRI
L
INGERSOLL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 716-483-2876