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General NPI Number Information
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NPI Number | 1972288439
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Entity Type | Organization
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Legal Business Name | SHIELD OF COMFORT FOR SENIORS AND FAMILIES INC.
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 3468 AUGUSTA ST
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City | ATLANTA
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State | GA
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Zip | 30349-2954
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Country | US
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Telephone | 175-755-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 3468 AUGUSTA ST
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City | ATLANTA
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State | GA
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Zip | 30349-2954
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Country | US
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Telephone | 757-553-1334
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SABRINA CLARK
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Credential | MBA,BSHA
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Telephone | 757-553-1334
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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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