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Organization
COMFORT SUPPORT HOME, LLC
Active
Organization
COMFORT SUPPORT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWAN MBAKU (DIRECTOR)
(240) 441-3944
Entity
Organization
Contact information
Practice address
3157 HOLLOWAY RD, FALLS CHURCH, VA 22042-4205
(240) 441-3944
Mailing address
3157 HOLLOWAY RD, FALLS CHURCH, VA 22042-4205
(240) 441-3944
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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