# COMFORCARE CLAYTON HENRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForCare Home Care Clayton Henry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174203442
- **Authorized official:** TANGI CONECHA SMITH (OWNER)
- **Authorized official phone:** (404) 993-0135

## Contact information

- **Practice address:** 6304 BUNKER DR, LOCUST GROVE, GA 30248-7065
- **Practice address phone:** (193) 130-2631
- **Mailing address:** 6304 BUNKER DR, LOCUST GROVE, GA 30248-7065
- **Mailing address phone:** (193) 130-2631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 07/21/2023