Organization
COMFORCARE SENIOR SERVICES
Active
Other names
Southeastern Home Health Care Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SURGEON JD (CEO)
(910) 272-0121
Entity
Organization
Contact information
Practice address
2003 N PINE ST STE B, LUMBERTON, NC 28358-3935
(910) 272-0121
(910) 272-0141
Mailing address
405 DUNN RD, LUMBERTON, NC 28358-7913
(910) 272-0121
(910) 272-0141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
HC3342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418102
—
NC
05
—
6601465
—
NC
05
—
8301840
—
NC
05
—
8301840B
—
NC
05
—
8301840G
—
NC
Enumeration date
10/28/2006
Last updated
01/22/2014
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