Provider Demographics
NPI:1104145085
Name:THE PLACE OF COMFORT
Entity type:Organization
Organization Name:THE PLACE OF COMFORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRERTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-539-0885
Mailing Address - Street 1:947 LONGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-3284
Mailing Address - Country:US
Mailing Address - Phone:407-539-0885
Mailing Address - Fax:407-767-5163
Practice Address - Street 1:947 LONGDALE AVE
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-3284
Practice Address - Country:US
Practice Address - Phone:407-539-0885
Practice Address - Fax:407-767-5163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management