MEDICARE: COMFORT PCS

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376539825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT PCS

Provider Business Mailing Address
First Line	:	1900 WILLIAM REEVES RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1927
Country	:	US
Telephone Number	:	678-464-5945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 WILLIAM REEVES RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1927
Country	:	US
Telephone Number	:	678-464-5945
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DEBORAH HARRY
Credential	:
Telephone Number	:	678-464-5945

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	08/22/2020

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