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General NPI Number Information
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NPI Number | 1205297769
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Entity Type | Organization
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Legal Business Name | COMFORT HOME CARE LLC
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 128 ENCHANTED PKWY STE 205
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City | MANCHESTER
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State | MO
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Zip | 63021-5497
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Country | US
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Telephone | 636-220-7671
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Fax | 877-487-6101
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Provider Business Mailing Address
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Address Line | 128 ENCHANTED PKWY STE 205
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City | MANCHESTER
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State | MO
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Zip | 63021-5497
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Country | US
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Telephone | 636-220-7671
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Fax | 877-487-6101
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Authorized Official
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Title or Position | CDS DIRECTOR COORDINATOR
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Name | ALBINA MUJAKOVIC
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Credential |
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Telephone | 636-220-7671
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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 |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | LC001483326
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License Number State | MO
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