Organization
COMMUNITY KONNECTION DBA COMFORT KEEPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMI TALLMAN JAMES RNC, MPT (OWNER/DIRECTOR)
(818) 741-1991
Entity
Organization
Contact information
Practice address
6708 FOOTHILL BLVD., SUITE 206, TUJUNGA, CA 91042
(818) 741-1991
(818) 741-1994
Mailing address
6708 FOOTHILL BLVD., SUITE 206, TUJUNGA, CA 91042
(818) 741-1991
(818) 741-1994
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194700012
CALIFORNIA HCSB--CERTIFIED HCO
CA
Enumeration date
06/07/2016
Last updated
11/15/2016
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