Organization
SOUTHERN COMFORT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER GUNN (PRESIDENT)
(267) 474-6464
Entity
Organization
Contact information
Practice address
6641 NORTH BROAD STREET, PHILADELPHIA, PA 19126
(267) 335-5936
Mailing address
6641 NORTH BROAD STREET, PHILADELPHIA, PA 19126
(267) 335-5936
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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