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NPI Code Detail

MEDICARE: COMFORCARE FOR MDE INC.

MEDICARE: COMFORCARE FOR MDE INC.
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
1253Z00000XIn Home Supportive Care AgencyHP0149500NJ

General Provider Information

NPI Number : 1417253725
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORCARE FOR MDE INC.
Provider Business Mailing Address
First Line : 1072 PARKWAY AVE
Second Line :
City : EWING
State : NJ
Zip : 08628-3002
Country : US
Telephone Number : 908-477-9732
Fax Number : 609-771-1183
Provider Business Practice Location Address
First Line : 1072 PARKWAY AVE
Second Line :
City : EWING
State : NJ
Zip : 08628-3002
Country : US
Telephone Number : 908-477-9732
Fax Number : 609-651-4453
Authorized Official
Title or Position : OWNER
Name : MICHAEL DURKIN
Credential :
Telephone Number : 609-771-0083
Provider Enumeration Date : 02/03/2011
Last Update Date : 12/04/2018

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