Organization
COMFORTCARE HOMES OF PITTSBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHIA WINDSOR CNA,CMA,CDP, OPER. (OWNER/OPERATOR)
(620) 308-6520
Entity
Organization
Contact information
Practice address
704 LAKEVIEW DR., 704 LAKEVIEW DR., PITTSBURG, KS 66762-6149
(620) 308-6520
Mailing address
803 LAKEVIEW DR, PITTSBURG, KS 66762-6149
(620) 308-6520
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
201089820A
KS
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201089820A
—
KS
05
—
201289820B
—
KS
Enumeration date
06/13/2014
Last updated
04/06/2023
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