# LIVING LIFE SKILLED NURSING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Living Life Skilled Nursing LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003543968
- **Authorized official:** THEENG LIAN (ADMINISTRATOR)
- **Authorized official phone:** (678) 481-7203

## Contact information

- **Practice address:** 787 GREY ROCK RD \# 10, NORCROSS, GA 30093-4983
- **Practice address phone:** (678) 481-7198
- **Practice address fax:** (770) 807-0504
- **Mailing address:** 787 GREY ROCK RD, NORCROSS, GA 30093-4983
- **Mailing address phone:** (678) 481-7203
- **Mailing address fax:** (770) 807-0504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2022
- **Last updated:** 08/17/2022