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Organization

PHOENIX COMFORT HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUSSEIN AHMED HASSAN MSC (DIRECTOR)
(612) 913-6133
Entity
Organization

Contact information

Practice address
17643 N 17TH ST, PHOENIX, AZ 85022-2113
(602) 358-7936
(602) 358-7936
Mailing address
17643 N 17TH ST, PHOENIX, AZ 85022-2113
(602) 358-7936
(602) 358-7936

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
04/07/2020
Last updated
04/07/2020
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