Organization
COMFORT HEALTHCARE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEYINWA R NZEREM OTR/L, CLT (ADMINISTRATOR)
(765) 683-0633
Entity
Organization
Contact information
Practice address
714 W 53RD ST, ANDERSON, IN 46013-1514
(765) 683-0633
(765) 683-0603
Mailing address
714 W 53RD ST, ANDERSON, IN 46013-1514
(765) 683-0633
(765) 683-0603
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
05/10/2018
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