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General NPI Number Information
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NPI Number | 1033417837
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Entity Type | Organization
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Legal Business Name | COMFORCARE HOME CARE
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 414 TENNESSEE ST SUITE M
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City | REDLANDS
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State | CA
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Zip | 92373-8163
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Country | US
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Telephone | 909-793-2400
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Fax | 909-793-7272
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Provider Business Mailing Address
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Address Line | 414 TENNESSEE ST SUITE M
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City | REDLANDS
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State | CA
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Zip | 92373-8163
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Country | US
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Telephone | 909-793-2400
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Fax | 909-793-7272
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Authorized Official
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Title or Position | OWNER AND CARE CONSULTANT
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Name | MR. GEORGE MACIAS
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Credential |
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Telephone | 909-793-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1006136
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License Number State | CA
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