Healthcare Provider Details

I. General information

NPI: 1689022337
Provider Name (Legal Business Name): COMFORT & CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 S PLAZA TRL SUITE 210J
VIRGINIA BEACH VA
23452-3300
US

IV. Provider business mailing address

3630 S PLAZA TRL SUITE 210J
VIRGINIA BEACH VA
23452-3300
US

V. Phone/Fax

Practice location:
  • Phone: 757-499-1273
  • Fax: 757-340-4095
Mailing address:
  • Phone: 757-499-1273
  • Fax: 757-340-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number25325
License Number StateVA

VIII. Authorized Official

Name: MS. SHERVON TANYA DUBIQUE
Title or Position: OWNER/MANAGER
Credential: MBA
Phone: 757-329-1504