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Organization

A MILE OF COMFORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YAKIA COLLIER (OWNER)
(682) 221-9756
Entity
Organization

Contact information

Practice address
771 E SOUTHLAKE BLVD, 209, SOUTHLAKE, TX 76092-6341
(817) 761-5006
Mailing address
771 E SOUTHLAKE BLVD, 209, SOUTHLAKE, TX 76092-6341
(817) 761-5006

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017576
TX
251G00000X
Community Based Hospice Care Agency
017576
TX
385H00000X
Respite Care
017576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367707201
TX
Enumeration date
12/03/2016
Last updated
05/12/2017
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