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General NPI Number Information
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NPI Number | 1861376170
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Entity Type | Organization
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Legal Business Name | COMFORT AND CARE ADULT LIVING
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1214 WHISPERING PINES RD
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City | ALBANY
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State | GA
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Zip | 31707-3562
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Country | US
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Telephone | 229-638-0154
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 WHISPERING PINES RD
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City | ALBANY
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State | GA
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Zip | 31707-3562
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Country | US
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Telephone | 229-638-0154
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEMETRICUS LASALLE ALFORD
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Credential | RN
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Telephone | 229-815-2256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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