Organization
PROFESSIONAL COMFORT CARE
Active
Parent organization
CHERRY BOLDEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRY BOLDEN
Authorized official
MS. CHERRY BOLDEN CERTIFIED AGENCY (CEO)
(785) 393-2689
Entity
Organization
Contact information
Practice address
1008 WILDWOOD DR, LAWRENCE, KS 66049-3752
(785) 218-9436
Mailing address
1008 WILDWOOD DR, LAWRENCE, KS 66049-3752
(785) 218-9436
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A023015
KS
251S00000X
Community/Behavioral Health Agency
A023015
—
251S00000X
Community/Behavioral Health Agency
—
KS
Other
Enumeration date
11/13/2014
Last updated
07/21/2022
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