| Comfort Care Providers, LLC. | |
|
12409 W Indian School Rd Ste A108 Avondale AZ 85392-9503 | |
| (623) 328-7087 | |
| (623) 218-1337 |
| Full Name | Comfort Care Providers, LLC. |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 12409 W Indian School Rd Ste A108, Avondale, Arizona |
| Authorized Official Name and Position | Aziz Mallik (PRESIDENT) |
| Authorized Official Contact | 6233837087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Care Providers, LLC. 12409 W Indian School Rd Ste A108 Avondale AZ 85392-9503 Ph: (623) 328-7087 | Comfort Care Providers, LLC. 12409 W Indian School Rd Ste A108 Avondale AZ 85392-9503 Ph: (623) 328-7087 |
| NPI Number | 1952803652 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 3173756905 |
|---|---|
| Medicare Enrollment ID | O20180924002633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952803652 | NPI | - | NPPES |
| 442029 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 293D00000X | Physiological Laboratory | (NU) | Primary |
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