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Organization
COMMUNITY LIVING SERVICES
Active
Organization
COMMUNITY LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLY ANYIKO (ADMINISTRATOR)
(515) 988-7748
Entity
Organization
Contact information
Practice address
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043-2018
(515) 988-7748
Mailing address
1755 N BROWN RD STE 200, LAWRENCEVILLE, GA 30043-2018
(515) 988-7748
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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