MEDICARE: SPKCOMFORTHOMECAREINC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1184047821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPKCOMFORTHOMECAREINC

Provider Business Mailing Address
First Line	:	7303 WOODHILL PARK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6530
Country	:	US
Telephone Number	:	407-760-5025
Fax Number	:

Provider Business Practice Location Address
First Line	:	7303 WOODHILL PARK DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6530
Country	:	US
Telephone Number	:	407-760-5025
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS SHELA PIERRE
Credential	:	ETC
Telephone Number	:	407-760-5025

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	01/31/2014

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