# JESUS IS LORD HEALTHCARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1346451366
- **Authorized official:** DOROTHY JACKSON (CEO)
- **Authorized official phone:** (706) 790-0767

## Contact information

- **Practice address:** 2764 TOBACCO RD, HEPHZIBAH, GA 30815-7014
- **Practice address phone:** (706) 790-5836
- **Practice address fax:** (706) 790-0767
- **Mailing address:** 2764 TOBACCO RD, HEPHZIBAH, GA 30815-7014
- **Mailing address phone:** (706) 790-5836
- **Mailing address fax:** (706) 790-0767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 021-R-0019 | GA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 06/02/2020