Organization
COMY FIDELITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COMFORT MFOATOW BANYUPE (ADMINISTRATOR)
(301) 326-6249
Entity
Organization
Contact information
Practice address
5713 NOTTINGHAM PL, ADAMSTOWN, MD 21710-9474
(301) 326-6249
Mailing address
5713 NOTTINGHAM PL, ADAMSTOWN, MD 21710-9474
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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