# AZ COMFORT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548785884
- **Authorized official:** MR. JOHN OMIJIE (PROGRAM DIRECTOR)
- **Authorized official phone:** (623) 326-3327

## Contact information

- **Practice address:** 23832 W TONTO STREET, BUCKEYE, AZ 85326
- **Practice address phone:** (623) 666-3895
- **Practice address fax:** (623) 321-1206
- **Mailing address:** 23832 W TONTO ST, BUCKEYE, AZ 85326-8139
- **Mailing address phone:** (623) 666-3895
- **Mailing address fax:** (623) 321-1206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH5219 | AZ | Yes |

## Other

- **Enumeration date:** 08/08/2017
- **Last updated:** 07/21/2022