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General NPI Number Information
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NPI Number | 1245748847
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOME CARE, LLC.
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 2800 W FOREST HOME AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-2945
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Country | US
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Telephone | 414-585-0083
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Fax | 414-252-5090
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Provider Business Mailing Address
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Address Line | 2800 W FOREST HOME AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-2945
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Country | US
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Telephone | 414-585-0083
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Fax | 414-252-5090
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MR. ANTHONY OBED PENA
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Credential |
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Telephone | 414-585-0083
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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 | 100035439
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License Number State | WI
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