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General NPI Number Information
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NPI Number | 1598374092
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Entity Type | Organization
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Legal Business Name | COMFORT ENTERPRISES, INC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 125 COMMONS WAY STE 104
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City | VILLA RICA
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State | GA
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Zip | 30180-7041
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Country | US
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Telephone | 770-881-8509
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Fax | 678-681-1651
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Provider Business Mailing Address
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Address Line | 125 COMMONS WAY STE 104
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City | VILLA RICA
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State | GA
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Zip | 30180-7041
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Country | US
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Telephone | 770-881-8509
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Fax | 678-681-1651
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Authorized Official
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Title or Position | OWNER
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Name | YOUIRSHEBA HARRIS
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Credential |
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Telephone | 770-881-8509
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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 |
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License Number State |
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