Organization
COMFORT RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE MAZAMBO (CEO)
(207) 409-2798
Entity
Organization
Contact information
Practice address
5919 NW 50TH ST, JOHNSTON, IA 50131-4760
(207) 409-2798
Mailing address
5919 NW 50TH ST, JOHNSTON, IA 50131-4760
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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