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General NPI Number Information
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NPI Number | 1962296061
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Entity Type | Organization
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Legal Business Name | COMFORTS OF HOME ALH, LLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 22144 E DOMINGO RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5948
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Country | US
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Telephone | 480-660-8637
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Fax | 480-660-8678
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Provider Business Mailing Address
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Address Line | 85 W COMBS RD STE 101-416
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-9154
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Country | US
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Telephone | 480-686-6223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSE STRAUB
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Credential |
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Telephone | 480-992-4104
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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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