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Organization
ILIVE HOME CARE SERVICES
Active
Organization
ILIVE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITELYA JACKSON (OWNER)
(678) 540-4446
Entity
Organization
Contact information
Practice address
6957 PINE SHADOW WAY, WINSTON, GA 30187-2150
(678) 540-4446
(678) 540-4426
Mailing address
8491 HOSPITAL DRIVE #135, DOUGLASVILLE, GA 30134
(678) 540-4446
(678) 540-4426
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
02/25/2016
Last updated
07/21/2022
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