Provider Demographics
NPI:1194117085
Name:PANDA COMFORTING CARE LLC
Entity type:Organization
Organization Name:PANDA COMFORTING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:COMFORT
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-580-3344
Mailing Address - Street 1:1509 BAYTREE TER
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2384
Mailing Address - Country:US
Mailing Address - Phone:301-580-3344
Mailing Address - Fax:
Practice Address - Street 1:1509 BAYTREE TER
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2384
Practice Address - Country:US
Practice Address - Phone:301-580-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15735612281P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital