Provider Demographics
NPI:1518739358
Name:AZ COMFORT HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AZ COMFORT HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MS
Authorized Official - First Name:KLODIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUKHANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-698-8337
Mailing Address - Street 1:6390 W BELL RD STE A5
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3614
Mailing Address - Country:US
Mailing Address - Phone:623-248-7842
Mailing Address - Fax:623-248-7842
Practice Address - Street 1:6390 W BELL RD STE A5
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3614
Practice Address - Country:US
Practice Address - Phone:623-248-7842
Practice Address - Fax:623-248-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health