Organization
COMFORT CARE OF WI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEKTOR GINA (CEO)
(414) 477-9246
Entity
Organization
Contact information
Practice address
8624A S MARKET PL, OAK CREEK, WI 53154-3524
(414) 477-9246
Mailing address
8624A S MARKET PL, OAK CREEK, WI 53154-3524
(414) 477-9246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170011
—
WI
Enumeration date
07/14/2021
Last updated
07/14/2021
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