Organization
COMFORTCARE MED SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R HODGES (CEO)
(866) 530-7848
Entity
Organization
Contact information
Practice address
2898B WILLOW COVE DR, WINSTON SALEM, NC 27107-1636
(866) 530-7848
(866) 530-7811
Mailing address
2898B WILLOW COVE DR, WINSTON SALEM, NC 27107-1636
(866) 530-7848
(866) 530-7811
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705075
—
NC
Enumeration date
04/13/2006
Last updated
09/13/2010
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