Organization
SOUTHERN COMFORT HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIEL FORTENBERRY (OWNER)
(704) 915-2010
Entity
Organization
Contact information
Practice address
1006 UNION RD, GASTONIA, NC 28054-0466
(704) 915-2010
Mailing address
2443 BETHESDA OAKS DR, GASTONIA, NC 28056-0001
(704) 915-2010
(704) 879-9225
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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