Organization
AZ COMFORT HOME, INC
Active
Parent organization
AZ COMFORT HOME, INC
Other names
Cottonwood House
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZ COMFORT HOME, INC
Authorized official
JOHN OMIJIE (PROGRAM DIRECTOR)
(623) 326-3327
Entity
Organization
Contact information
Practice address
16439 W COTTONWOOD ST, SURPRISE, AZ 85388-2160
(623) 666-3895
(623) 321-1206
Mailing address
18412 W MISSION LN, WADDELL, AZ 85355-4303
(623) 326-3327
(623) 321-1206
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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