Organization
COMFORT CARE PROVIDERS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZIZ MALLIK (PRESIDENT)
(623) 383-7087
Entity
Organization
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 328-7087
(623) 218-1337
Mailing address
12409 W INDIAN SCHOOL RD STE A108, AVONDALE, AZ 85392-9503
(623) 328-7087
(623) 218-1337
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442029
—
AZ
Enumeration date
03/08/2018
Last updated
03/16/2021
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