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General NPI Number Information
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NPI Number | 1669097283
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Entity Type | Organization
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Legal Business Name | SOUTHERN COMFORT HOME CARE LLC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 2221 SAINT CLAUDE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70117-8455
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Country | US
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Telephone | 504-975-1210
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Fax | 504-648-1417
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Provider Business Mailing Address
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Address Line | 2221 SAINT CLAUDE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70117-8455
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Country | US
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Telephone | 504-975-1210
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Fax | 504-648-1417
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Authorized Official
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Title or Position | MANAGER
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Name | MR. HOLLIS SHEPHERD
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Credential |
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Telephone | 504-975-1210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 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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