Healthcare Provider Details
I. General information
NPI: 1770577751
Provider Name (Legal Business Name): HOME COMFORT MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2005
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
433 WEST CENTRAL AVE
JAMESTOWN TN
38556
US
IV. Provider business mailing address
357 RIVERSIDE DR SUITE 120
FRANKLIN TN
37064-8963
US
V. Phone/Fax
- Phone: 931-752-8914
- Fax: 931-752-8916
- Phone: 615-790-1556
- Fax: 615-790-6841
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SHALIA
ROBIN
LANKFORD
Title or Position: DIRECTOR OF A/R MANAGEMENT
Credential:
Phone: 615-790-1556