Az Comfort Home, INC

NPI #1811554074 in Surprise, Arizona

Provider Information

NPI Number: 1811554074
Entity Type: Organization
Organization Name: Az Comfort Home, INC
Subpart: Yes (part of a larger organization)
Parent Organization: AZ COMFORT HOME, INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 16439 W COTTONWOOD ST
City: Surprise
State: Arizona
ZIP Code: 85388-2160
Phone: (623) 666-3895

Authorized Official

Name: JOHN OMIJIE
Title: PROGRAM DIRECTOR
Phone: (623) 326-3327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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