# COMFORT ANGELS HOME CORP

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

## Provider details

- **NPI number:** 1912378415
- **Authorized official:** MR. JOSE MIGUEL MARTINEZ (CEO)
- **Authorized official phone:** (786) 663-2607

## Contact information

- **Practice address:** 3133 W LAMBRIGHT ST, TAMPA, FL 33614-4616
- **Practice address phone:** (786) 663-2607
- **Mailing address:** 15809 SAPWOOD ST, TAMPA, FL 33624-1627
- **Mailing address phone:** (786) 663-2607

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 10/09/2015
