MEDICARE: COMFORT HOMECARE AGENCY

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	:	1881024339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT HOMECARE AGENCY

Provider Business Mailing Address
First Line	:	1634 FARRINGTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2714
Country	:	US
Telephone Number	:	215-915-3156
Fax Number	:

Provider Business Practice Location Address
First Line	:	1634 FARRINGTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2714
Country	:	US
Telephone Number	:	215-915-3156
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOANN EVANS
Credential	:
Telephone Number	:	215-915-3156

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	11/20/2013

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