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General NPI Number Information
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NPI Number | 1417467523
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Entity Type | Organization
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Legal Business Name | COMFORT AT HOME SENIOR & FAMILY CARE
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 160 S 2ND ST
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City | NEW MEMPHIS
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State | IL
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Zip | 62266-1004
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Country | US
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Telephone | 618-588-3014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | NEW MEMPHIS
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State | IL
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Zip | 62266-0266
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Country | US
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Telephone | 618-588-3014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSIE OESTRINGER
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Credential |
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Telephone | 618-588-3014
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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 | 3001278
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License Number State | IL
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