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General NPI Number Information
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NPI Number | 1811854508
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Entity Type | Organization
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Legal Business Name | C&L COMFORT LIVING LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2304 DE LEE ST STE 200
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City | BRYAN
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State | TX
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Zip | 77802-2815
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Country | US
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Telephone | 979-431-5800
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Fax | 979-703-1361
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Provider Business Mailing Address
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Address Line | 25711 CANYON CROSSING DR
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City | RICHMOND
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State | TX
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Zip | 77406-5291
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Country | US
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Telephone | 832-439-7386
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTICIONE
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Name | CATHERINE N MANGA
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Credential |
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Telephone | 832-439-7386
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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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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