Healthcare Provider Details

I. General information

NPI: 1497228696
Provider Name (Legal Business Name): COMFORT ADULT DAYCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 01/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 NW 77TH CT STE 409
HIALEAH GARDENS FL
33016-2073
US

IV. Provider business mailing address

10550 NW 77TH CT STE 409
HIALEAH GARDENS FL
33016-2073
US

V. Phone/Fax

Practice location:
  • Phone: 786-675-5747
  • Fax:
Mailing address:
  • Phone: 786-675-5747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MILTON JR MORENO
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-554-7900