Organization
COMFORTING ANGELS HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY C HULBERT (CEO)
(901) 497-9177
Entity
Organization
Contact information
Practice address
5395 FOX PLAZA DR STE 108, MEMPHIS, TN 38115-1580
(901) 497-9177
Mailing address
5395 FOX PLAZA DR STE 108, MEMPHIS, TN 38115-1580
(901) 497-9177
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
L000000014215
TN
251E00000X
Home Health Agency
Primary
L000000014215
TN
251S00000X
Community/Behavioral Health Agency
L000000014215
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
L000000014215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445831
—
TN
Enumeration date
12/30/2015
Last updated
12/30/2015
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