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Organization

COMFORT FACILITATORS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE COMFORT (OWNER)
(804) 503-7015
Entity
Organization

Contact information

Practice address
1617 EAGLES ROOST CT, RICHMOND, VA 23223-1274
(804) 503-7015
Mailing address
1617 EAGLES ROOST CT, RICHMOND, VA 23223-1274
(804) 503-7015

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
VA
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
10/01/2007
Last updated
01/11/2011
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