Whalio Doctors

NPI 1730439159

Comfort Zone Personal Care Home LLC

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Locust Grove, GA

Practice location

Address
485 Frog Rd, Locust Grove, GA 30248-3505
Phone
(678) 610-5498
Fax
(678) 610-5498
Mailing address
301 Stone Rd, McDonough, GA 30253-7267

Authorised official

Name
Margaret Wairimu Clukey
Title
Director
Phone
(770) 712-9308

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary
Respite Care Facility Taxonomy 385HR2060X Licence CLA001137 (GA)

Registry record

NPI
1730439159
Entity type
Organization
NPI issued
13 Sep 2012
Record last updated
13 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.