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General NPI Number Information
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NPI Number | 1063108850
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Entity Type | Organization
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Legal Business Name | COMFORT HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 100 E CAMPUS VIEW BLVD STE 250
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City | COLUMBUS
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State | OH
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Zip | 43235-4682
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Country | US
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Telephone | 614-300-0717
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 7060 100 E CAMPUS VIEW BLVD. SUITE 250
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City | COLUMBUS
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State | OH
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Zip | 43235
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Country | US
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Telephone | 614-300-0717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUENYONA PATTERSON
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Credential | MHA
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Telephone | 937-829-8675
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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