Provider Demographics
NPI:1447558218
Name:CSL ENTERPRISES LLC DBA COMFORT CARE
Entity type:Organization
Organization Name:CSL ENTERPRISES LLC DBA COMFORT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-335-0986
Mailing Address - Street 1:2021 PERRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2337
Mailing Address - Country:US
Mailing Address - Phone:573-335-0986
Mailing Address - Fax:573-339-0112
Practice Address - Street 1:2021 PERRYVILLE RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2337
Practice Address - Country:US
Practice Address - Phone:573-335-0986
Practice Address - Fax:573-339-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0010571Medicaid