Organization
KINGS COMFORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANALISA JUNIOR (OWNER)
(407) 405-8101
Entity
Organization
Contact information
Practice address
4411 PERCH ST, TAMPA, FL 33617-8207
(407) 405-8101
Mailing address
11619 MANDEVILLA VIEW WAY, RIVERVIEW, FL 33579-1819
(407) 405-8101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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