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Organization

COMFORT MANOR INC

Active
Other names
CARING ANGELS
Organization subpart
No

Provider details

NPI number
Authorized official
RAVI KUMAR (ADMINISTRATOR)
(727) 666-5057
Entity
Organization

Contact information

Practice address
6405 40TH AVE N, ST PETERSBURG, FL 33709-4901
(727) 666-5057
Mailing address
6405 40TH AVE N, ST PETERSBURG, FL 33709-4901

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7175
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009631300
FL
Enumeration date
04/27/2016
Last updated
04/27/2016
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