# LIFE AND LIVING COMPANION CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life and Living Companion Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225785405
- **Authorized official:** MRS. NICOLE E INGRAM (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (478) 250-1217

## Contact information

- **Practice address:** 214 NORTHRIDGE DR, MACON, GA 31220-6639
- **Practice address phone:** (478) 508-2968
- **Mailing address:** PO BOX 27071, MACON, GA 31221-7071
- **Mailing address phone:** (478) 250-1217

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/07/2022