# ILIVE HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1093175689
- **Authorized official:** ITELYA JACKSON (OWNER)
- **Authorized official phone:** (678) 540-4446

## Contact information

- **Practice address:** 6957 PINE SHADOW WAY, WINSTON, GA 30187-2150
- **Practice address phone:** (678) 540-4446
- **Practice address fax:** (678) 540-4426
- **Mailing address:** 8491 HOSPITAL DRIVE \#135, DOUGLASVILLE, GA 30134
- **Mailing address phone:** (678) 540-4446
- **Mailing address fax:** (678) 540-4426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | GA | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 07/21/2022