Provider Demographics
NPI:1427355924
Name:WINGS OF COMFORT
Entity type:Organization
Organization Name:WINGS OF COMFORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HOME HEALTH AIDE (HHA)
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED HHA
Authorized Official - Phone:315-314-6298
Mailing Address - Street 1:18 MAXWELL CT
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13207-2532
Mailing Address - Country:US
Mailing Address - Phone:315-314-6297
Mailing Address - Fax:315-314-6298
Practice Address - Street 1:202 ARTERIAL RD
Practice Address - Street 2:SUITE 306
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-1589
Practice Address - Country:US
Practice Address - Phone:315-314-6297
Practice Address - Fax:315-314-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY904149251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health