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General NPI Number Information
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NPI Number | 1356902092
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Entity Type | Organization
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Legal Business Name | COMFORT ADULT DAY SERVICES, LLC
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 24343 PLYMOUTH RD
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City | REDFORD
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State | MI
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Zip | 48239-1615
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Country | US
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Telephone | 248-613-9440
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Fax | 248-905-5003
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Provider Business Mailing Address
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Address Line | 30555 SOUTHFIELD RD STE 150
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7700
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Country | US
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Telephone | 248-905-5295
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Fax | 248-905-5003
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA ANN WILLIAMS
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Credential | RN
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Telephone | 248-905-5295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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