Organization
COMFORT COMMUNITY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL WOHIREN (DIRECTOR)
(678) 581-1831
Entity
Organization
Contact information
Practice address
700 SANDY PLAINS RD STE B14, STE B14, MARIETTA, GA 30066-6311
(678) 581-1831
(678) 581-1836
Mailing address
700 SANDY PLAINS RD STE B14, SANDY PLAINS CONN, MARIETTA, GA 30066-6311
(678) 581-1831
(678) 581-1836
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
00061603
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702748549A
—
GA
05
—
702748549B
—
GA
Enumeration date
02/17/2011
Last updated
02/17/2011
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