# LONGLEAF HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Longleaf Residential
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366262420
- **Authorized official:** MR. JESSIE PETREA (OWNER)
- **Authorized official phone:** (912) 661-3909

## Contact information

- **Practice address:** 6602 ABERCORN ST STE 204, SAVANNAH, GA 31405-5849
- **Practice address phone:** (912) 661-3909
- **Mailing address:** 6602 ABERCORN ST STE 204, SAVANNAH, GA 31405-5849
- **Mailing address phone:** (912) 661-3909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/14/2024
- **Last updated:** 05/02/2025
