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NPI 1194260737

NPI 1194260737 : SLK CAREGIVERS INC. DBA COMFORT KEEPERS : ORCHARD PARK, NY

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General NPI Number Information
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    NPI Number           |    1194260737
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLK CAREGIVERS INC. DBA COMFORT KEEPERS 
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Dates
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    Enumeration Date     |    01/05/2017
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    Last Update Date     |    01/05/2017
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Provider Practice Location Address
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    Address Line         |    3075 SOUTHWESTERN BLVD. SUITE 206
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    City                 |    ORCHARD PARK
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    State                |    NY
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    Zip                  |    14127
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    Country              |    US
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    Telephone            |    716-674-0061
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3075 SOUTHWESTERN BLVD. SUITE 206
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    City                 |    ORCHARD PARK
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    State                |    NY
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    Zip                  |    14127
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    Country              |    US
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    Telephone            |    716-674-0061
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    Fax                  |    716-771-3481
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. SUSAN L KRYSZAK 
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    Credential           |    
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    Telephone            |    716-674-0061
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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 |    NY
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