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Organization
FAITH LIVING LEGACY LLC
Active
Organization
FAITH LIVING LEGACY LLC
Active
Other names
Faith Living Legacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE JOHNSON (MANAGER)
(678) 650-6282
Entity
Organization
Contact information
Practice address
715 BRONZE CT, ACWORTH, GA 30102-3706
(678) 650-6282
Mailing address
715 BRONZE CT, ACWORTH, GA 30102-3706
(678) 650-6282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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