Organization
COMFORT GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORETTA M CAREY (DIRECTOR)
(215) 435-7395
Entity
Organization
Contact information
Practice address
13397 NATIONVILLE LN, WOODBRIDGE, VA 22193-4152
(215) 435-7395
Mailing address
13397 NATIONVILLE LN, WOODBRIDGE, VA 22193-4152
(215) 435-7395
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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