# 365 HEALTH CARE AGENCY, LLC

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

## Provider details

- **NPI number:** 1306550967
- **Authorized official:** NICKIEA KEESE (OWNER/PRESIDENT)
- **Authorized official phone:** (404) 322-8349

## Contact information

- **Practice address:** 568 VINTAGE POINTE RUN, MABLETON, GA 30126-7211
- **Practice address phone:** (404) 322-8349
- **Mailing address:** 568 VINTAGE POINTE RUN, MABLETON, GA 30126-7211
- **Mailing address phone:** (404) 322-8349

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 01/09/2023