# LIVING PRIVATE HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** N/A
- **Other names:** N/A
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013290436
- **Legal business name:** N/A
- **Authorized official:** MS. NNENNA M. EKEKE N/A (PROGRAM DIRECTOR)
- **Authorized official phone:** (404) 518-0619

## Contact information

- **Practice address:** 3034 GRAND AVE SW, N/A, ATLANTA, GA 30315-9020
- **Practice address phone:** (404) 518-0619
- **Practice address fax:** (770) 964-0694
- **Mailing address:** 3034 GRAND AVE SW, N/A, ATLANTA, GA 30315-9020
- **Mailing address phone:** (404) 518-0619
- **Mailing address fax:** (770) 969-0694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 0060R0065 | GA | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 09/21/2011