Organization
COMFORT HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINE NDIFOR (ADMIN)
(617) 413-4952
Entity
Organization
Contact information
Practice address
6440 FLYING CLOUD DR STE 114, EDEN PRAIRIE, MN 55344-3321
(952) 884-1800
(844) 829-7747
Mailing address
PO BOX 44044, EDEN PRAIRIE, MN 55344-1044
(952) 492-9039
(844) 829-7747
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407412430
—
MN
Enumeration date
05/15/2019
Last updated
01/15/2020
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