Organization
CKCTB, INC
Active
Other names
Comfort Keepers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM DEAN (OWNER)
(239) 590-8999
Entity
Organization
Contact information
Practice address
12493 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5693
(239) 590-8999
(239) 590-8992
Mailing address
12493 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5693
(239) 590-8999
(239) 590-8992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299992995
FL
253Z00000X
In Home Supportive Care Agency
299992995
FL
302F00000X
Exclusive Provider Organization
Primary
299992995
FL
Other
Enumeration date
10/08/2012
Last updated
08/21/2013
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