Provider Demographics
NPI:1982312161
Name:TOUBA COMFORT ZONE, LLC
Entity Type:Organization
Organization Name:TOUBA COMFORT ZONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:CISSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-671-5565
Mailing Address - Street 1:7003 BLACK MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-2830
Mailing Address - Country:US
Mailing Address - Phone:502-671-5565
Mailing Address - Fax:
Practice Address - Street 1:7003 BLACK MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-2830
Practice Address - Country:US
Practice Address - Phone:502-671-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities