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General NPI Number Information
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NPI Number | 1194405407
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Entity Type | Organization
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Legal Business Name | COMFORT LIVING SERVICES
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 601 CARLSON PKWY STE 1045
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City | MINNETONKA
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State | MN
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Zip | 55305-5203
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Country | US
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Telephone | 952-444-9606
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Fax |
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Provider Business Mailing Address
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Address Line | 910 1ST ST S UNIT 314
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City | HOPKINS
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State | MN
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Zip | 55343-7769
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Country | US
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Telephone | 952-444-9606
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ABDIRAHMAN A JAMA
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Credential |
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Telephone | 952-444-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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