=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497487953
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOUSE OF COMFORT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2022
-----------------------------------------------------
Last Update Date | 06/24/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 300 JOSEPH AVE
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75654-4334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-646-4850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 JOSEPH AVE
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75654-4334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-646-4850
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | BETTY LOU BROWN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 903-646-4850
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------