Organization
COMFORT CARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN ROSEANN TAYLOR (OWNER)
(704) 713-4820
Entity
Organization
Contact information
Practice address
2017 BEATTIES FORD RD STE E, CHARLOTTE, NC 28216-4576
(980) 408-6815
Mailing address
611 OWEN BLVD, CHARLOTTE, NC 28213-5651
(704) 713-4820
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC6858
HOME CARE LICENSE
NC
Enumeration date
02/16/2023
Last updated
02/16/2023
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