Organization
COMFORT CARE ASSISTED LIVING CENTERS, LLC
Active
Organization
COMFORT CARE ASSISTED LIVING CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISHMAEL RIDEAUX (OWNER)
(708) 516-3656
Entity
Organization
Contact information
Practice address
3440 S GILLENWATER DR, FLAGSTAFF, AZ 86001-8516
(708) 516-3656
Mailing address
PO BOX 74824, PHOENIX, AZ 85087-1015
(708) 516-3656
(866) 263-1028
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
09353 SUSAN REILY
AZ
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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