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General NPI Number Information
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NPI Number | 1912791591
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Entity Type | Organization
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Legal Business Name | QUALITY COMFORT HOME CARE INC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5312 W MAIN ST STE G5312
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City | BELLEVILLE
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State | IL
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Zip | 62226-4733
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Country | US
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Telephone | 314-239-1766
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Fax | 314-433-6418
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Provider Business Mailing Address
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Address Line | 431 CARROLL LN
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City | GLEN CARBON
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State | IL
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Zip | 62034-1125
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Country | US
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Telephone | 314-239-1766
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Fax | 314-433-6418
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Authorized Official
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Title or Position | CEO
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Name | MINNIE TUCKER
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Credential |
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Telephone | 314-239-1766
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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 |
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License Number State |
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