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General NPI Number Information
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NPI Number | 1760081046
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Entity Type | Organization
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Legal Business Name | COMFORT CARE GROUP HOMES LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 20826 BLUE TRINITY
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2296
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Country | US
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Telephone | 210-955-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 20826 BLUE TRINITY
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2296
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Country | US
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Telephone | 210-955-4738
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ADETUNJI THEOPHYLLUS OJUADE
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Credential |
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Telephone | 210-955-4738
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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 |
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License Number State |
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