Organization
CLASSY COMFORT HOME CARE AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOUVENER SOUVENANCE (PRESIDENT)
(347) 767-9077
Entity
Organization
Contact information
Practice address
2824 COTTMAN AVE STE 12, PHILADELPHIA, PA 19149-1400
(347) 767-9077
Mailing address
2824 COTTMAN AVE STE 12, PHILADELPHIA, PA 19149-1400
(347) 767-9077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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