Organization
COMFORT SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICK GUTIERREZ (MEMBER)
(623) 248-1166
Entity
Organization
Contact information
Practice address
10944 W HAZELWOOD ST, PHOENIX, AZ 85037-1354
(623) 248-1166
Mailing address
PO BOX 1414, TOLLESON, AZ 85353-1130
(623) 248-1166
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
11/04/2022
Last updated
11/04/2022
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