Healthcare Provider Details

I. General information

NPI: 1093628430
Provider Name (Legal Business Name): COMFORT LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18516 NE 158TH ST
BRUSH PRAIRIE WA
98606-9615
US

IV. Provider business mailing address

18516 NE 158TH ST
BRUSH PRAIRIE WA
98606-9615
US

V. Phone/Fax

Practice location:
  • Phone: 360-506-2622
  • Fax: 844-588-7824
Mailing address:
  • Phone: 360-506-2622
  • Fax: 844-588-7824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: NINA HULYI
Title or Position: PROVIDER
Credential:
Phone: 360-506-2622