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General NPI Number Information
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NPI Number | 1215357249
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Entity Type | Organization
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Legal Business Name | COMFORT & CARE ENTERPRISES, INC.
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD; SUITE 415-417
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-892-3017
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Fax |
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Provider Business Mailing Address
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Address Line | 9050 PINES BLVD; SUITE 415-417
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-892-3017
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CLIVETE GRANT
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Credential |
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Telephone | 954-272-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 30211716
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License Number State | FL
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