Organization
COMFORT LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA ALBAYATI (CEO)
(490) 765-4954
Entity
Organization
Contact information
Practice address
1654 S DAVIS, MESA, AZ 85210-9313
(480) 765-4954
Mailing address
1654 S DAVIS, MESA, AZ 85210-9313
(480) 765-4954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
884264254
GROUP HOME
—
Enumeration date
12/26/2022
Last updated
12/26/2022
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