Provider Demographics
NPI:1205103488
Name:COMFORT KEEPERS OF BUENA PARK
Entity type:Organization
Organization Name:COMFORT KEEPERS OF BUENA PARK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LENETTE
Authorized Official - Middle Name:LORETO
Authorized Official - Last Name:BELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-521-1337
Mailing Address - Street 1:7342 ORANGETHORPE AVE STE B109
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-3330
Mailing Address - Country:US
Mailing Address - Phone:714-521-1337
Mailing Address - Fax:714-521-1338
Practice Address - Street 1:7342 ORANGETHORPE AVE STE B109
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3330
Practice Address - Country:US
Practice Address - Phone:714-521-1337
Practice Address - Fax:714-521-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care