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General NPI Number Information
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NPI Number | 1164128831
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Entity Type | Organization
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Legal Business Name | CARE FOR LIFE INC DBA COMFORT CARE HOME
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 7390 WINCHESTER ST
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City | ANCHORAGE
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State | AK
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Zip | 99507-2856
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Country | US
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Telephone | 907-830-3772
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Fax | 907-332-1414
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Provider Business Mailing Address
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Address Line | 7390 WINCHESTER ST
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City | ANCHORAGE
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State | AK
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Zip | 99507-2856
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Country | US
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Telephone | 907-830-3772
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Fax | 907-332-1414
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIM J KIM
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Credential |
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Telephone | 907-830-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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