Provider Demographics
NPI:1003661786
Name:COMFORT PEAK COMMUNITY SERVICE
Entity Type:Organization
Organization Name:COMFORT PEAK COMMUNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MBUYONGHA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:310-431-6614
Mailing Address - Street 1:3513 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-3758
Mailing Address - Country:US
Mailing Address - Phone:310-431-6614
Mailing Address - Fax:
Practice Address - Street 1:3513 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-3758
Practice Address - Country:US
Practice Address - Phone:310-431-6614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251J00000XAgenciesNursing Care