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General NPI Number Information
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NPI Number | 1649235706
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Entity Type | Organization
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Legal Business Name | COMFORT CARE HOSPICE, LLC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 820 S THREE NOTCH ST STE C
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City | ANDALUSIA
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State | AL
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Zip | 36420-5360
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Country | US
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Telephone | 334-427-4000
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Fax | 334-427-4004
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Provider Business Mailing Address
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Address Line | 400 INTERSTATE NORTH PKWY SE STE 1600
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City | ATLANTA
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State | GA
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Zip | 30339-5047
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Country | US
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Telephone | 470-464-8000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MATTHEW BUCKHALTER
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Credential |
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Telephone | 470-464-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 10206
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License Number State | AL
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