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NPI Code Detail

MEDICARE: COMFORT MANOR CARE

MEDICARE: COMFORT MANOR CARE
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
1251E00000XHome Health Agency251E00000XVA

General Provider Information

NPI Number : 1295891489
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORT MANOR CARE
Provider Business Mailing Address
First Line : 5837 FIFER DR
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7611D RICHMOND HWY
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22306-2847
Country : US
Telephone Number : 703-349-5313
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAMUEL O NYARKO
Credential :
Telephone Number : 703-349-5313
Provider Enumeration Date : 12/29/2006
Last Update Date : 08/22/2020

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Directions to “COMFORT MANOR CARE ” Practice Location

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