Organization
COMSERV, INC.
Active
Parent organization
COMSERV, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMSERV, INC.
Authorized official
DAWN KELLEY (CEO)
(828) 325-4926
Entity
Organization
Contact information
Practice address
4165 NC HIGHWAY 127, TAYLORSVILLE, NC 28681
(828) 632-7615
Mailing address
619 PENNTON AVE SW, LENOIR, NC 28645-5743
(828) 757-0209
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340610B
—
NC
Enumeration date
03/13/2007
Last updated
07/16/2018
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