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General NPI Number Information
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NPI Number | 1083123442
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Entity Type | Organization
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Legal Business Name | COMFORTING ARMS HOME CARE CENTER, LLC
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5750 N MAJOR DRIVE # 201
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City | BEAUMONT
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State | TX
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Zip | 77713-9025
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Country | US
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Telephone | 409-937-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 N MAJOR DR APT 201
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City | BEAUMONT
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State | TX
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Zip | 77713-9025
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Country | US
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Telephone | 409-937-4800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS SANDRA CATRICE YOUNG
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Credential | LVN
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Telephone | 409-937-4800
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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 | 016164
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License Number State | TX
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