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General NPI Number Information
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NPI Number | 1770613366
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Entity Type | Organization
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Legal Business Name | COMFORCARE SENIOR SERVICES-SLIDELL
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 1550 LINDBERG DR
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City | SLIDELL
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State | LA
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Zip | 70458-8058
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Country | US
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Telephone | 985-781-6619
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Fax | 985-781-6629
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Provider Business Mailing Address
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Address Line | 1550 LINDBERG DR
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City | SLIDELL
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State | LA
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Zip | 70458-8058
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Country | US
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Telephone | 985-781-6619
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Fax | 985-781-6629
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Authorized Official
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Title or Position | PRESIDENT
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Name | LORI ANN FRANZO
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Credential |
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Telephone | 985-781-6619
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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 | PCA12321
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License Number State | LA
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