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General NPI Number Information
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NPI Number | 1154781896
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Entity Type | Organization
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Legal Business Name | CARE & COMFORT HOME INC.
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 1204 CLEVELAND AVE
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City | HAVRE
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State | MT
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Zip | 59501-4820
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Country | US
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Telephone | 406-265-2800
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Fax | 406-265-2899
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Provider Business Mailing Address
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Address Line | 1204 CLEVELAND AVE
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City | HAVRE
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State | MT
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Zip | 59501-4820
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Country | US
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Telephone | 406-265-2800
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Fax | 406-265-2899
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Authorized Official
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Title or Position | SECRETARY
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Name | PAMELA STIFFARM
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Credential |
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Telephone | 406-265-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 12818
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License Number State | MT
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