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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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