# JORDAN'S CROSSING HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053805663
- **Authorized official:** SABRINA MECHELE LEE RN (DIRECTOR OF NURSING/ADMINISTRATOR)
- **Authorized official phone:** (404) 988-0265

## Contact information

- **Practice address:** 3379 PEACHTREE RD NE STE 555, ATLANTA, GA 30326-1418
- **Practice address phone:** (404) 479-0619
- **Practice address fax:** (404) 720-6726
- **Mailing address:** 173 JANS MDWS, STOCKBRIDGE, GA 30281-5855
- **Mailing address phone:** (404) 479-0619
- **Mailing address fax:** (404) 720-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | RN130943 | GA | Yes |

## Other

- **Enumeration date:** 06/18/2018
- **Last updated:** 06/18/2018