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Organization
COMFORT ALF LLC
Active
Organization
COMFORT ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUBERT GRAHAM C.N.A. (ADMINISTRATOR)
(908) 377-1255
Entity
Organization
Contact information
Practice address
2122 N MYRTLE AVE, JACKSONVILLE, FL 32209-5633
(908) 377-1255
Mailing address
125 LEGENDARY DR UNIT 201, SAINT AUGUSTINE, FL 32092-3753
(908) 377-1255
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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