Organization
COMFORTABLE LIVING INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON KARLTON GEORGE JR. (CEO)
(612) 607-4233
Entity
Organization
Contact information
Practice address
6008 69TH AVE N, BROOKLYN PARK, MN 55429-1553
(612) 607-4233
Mailing address
6008 69TH AVE N, BROOKLYN PARK, MN 55429-1553
(612) 607-4233
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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