# FAITH LIVING LEGACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Faith Living Legacy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215792577
- **Authorized official:** JOSEPHINE JOHNSON (MANAGER)
- **Authorized official phone:** (678) 650-6282

## Contact information

- **Practice address:** 715 BRONZE CT, ACWORTH, GA 30102-3706
- **Practice address phone:** (678) 650-6282
- **Mailing address:** 715 BRONZE CT, ACWORTH, GA 30102-3706
- **Mailing address phone:** (678) 650-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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