Organization
COMFORT ANGELS HOME CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL MARTINEZ (CEO)
(786) 663-2607
Entity
Organization
Contact information
Practice address
3133 W LAMBRIGHT ST, TAMPA, FL 33614-4616
(786) 663-2607
Mailing address
15809 SAPWOOD ST, TAMPA, FL 33624-1627
(786) 663-2607
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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