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General NPI Number Information
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NPI Number | 1376641266
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Entity Type | Organization
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Legal Business Name | COMFORT CARE HOME HEALTH SERVICES CORP
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13380 SW 131ST ST STE 114
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City | MIAMI
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State | FL
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Zip | 33186-5857
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Country | US
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Telephone | 305-233-3310
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Fax | 305-233-6066
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Provider Business Mailing Address
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Address Line | 13380 SW 131ST ST SUITE 114
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City | MIAMI
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State | FL
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Zip | 33186-5857
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Country | US
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Telephone | 305-233-3310
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Fax | 305-233-6066
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISSETT HISGEN
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Credential |
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Telephone | 305-233-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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