Organization
COMFORT VILLA CARES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RADICA ANNIE SOOKLALL RN (ADMINISTATOR)
(407) 445-6670
Entity
Organization
Contact information
Practice address
6953 CRESCENT RIDGE RD, ORLANDO, FL 32810-5020
(407) 445-6670
(407) 445-6646
Mailing address
6953 CRESCENT RIDGE RD, ORLANDO, FL 32810-5020
(407) 445-6670
(407) 445-6646
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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