Organization
KOMFOT PROVIDER SERVICES LLC
Active
Other names
Komfot Provider Services
Organization subpart
No
Provider details
NPI number
Authorized official
TITILOPE EDITH ADEYOSOYE (OWNER/ADMINISTRATOR)
(817) 773-7572
Entity
Organization
Contact information
Practice address
107 FOREST MILL TRL, MANSFIELD, TX 76063-4812
(817) 773-7572
Mailing address
107 FOREST MILL TRL, MANSFIELD, TX 76063-4812
(817) 773-7572
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
01/31/2023
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