MEDICARE: VALLEY COMFORT HOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1285457655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY COMFORT HOMES

Provider Business Mailing Address
First Line	:	1823 W FAIRMOUNT AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-5204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1823 W FAIRMOUNT AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-5204
Country	:	US
Telephone Number	:	214-714-1044
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HUSSEIN WARDERE
Credential	:
Telephone Number	:	214-714-1044

Provider Enumeration Date	:	11/05/2024
Last Update Date	:	11/05/2024

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Directions to “VALLEY COMFORT HOMES ” Practice Location

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