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General NPI Number Information
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NPI Number | 1043510886
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Entity Type | Organization
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Legal Business Name | ELDERLY COMFORT LLC
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 800 N WEST ST SUITE 3
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City | WILMINGTON
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State | DE
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Zip | 19801-1565
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Country | US
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Telephone | 302-530-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 800 N WEST ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1565
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Country | US
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Telephone | 302-530-6680
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/FOUNDER
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Name | MRS. TINA S LAROSE
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Credential | MBA, MHSA, NHA
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Telephone | 302-530-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 2010104444
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2010104444
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License Number State | DE
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