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General NPI Number Information
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NPI Number | 1316343015
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Entity Type | Organization
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Legal Business Name | COMFORTS OF HOME SENIOR CARE
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 16 SAN DIMAS AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2114
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Country | US
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Telephone | 805-451-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SAN DIMAS AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GARY FRITZ GLEISSNER
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Credential |
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Telephone | 805-451-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 425801777
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License Number State | CA
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