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NPI Code Detail

MEDICARE: DOCMAC COMFORT CARE LLC

MEDICARE: DOCMAC COMFORT CARE LLC
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
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1083109219
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCMAC COMFORT CARE LLC
Provider Business Mailing Address
First Line : PO BOX 901
Second Line :
City : ROCIADA
State : NM
Zip : 87742-0901
Country : US
Telephone Number : 505-617-0380
Fax Number :
Provider Business Practice Location Address
First Line : 2301 COLLINS DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4826
Country : US
Telephone Number : 505-425-9362
Fax Number :
Authorized Official
Title or Position : RN
Name : ROSE MARIE MCDONALD
Credential :
Telephone Number : 505-617-0380
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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Directions to “DOCMAC COMFORT CARE LLC ” Practice Location

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