# KAIROS HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1407307838
- **Authorized official:** LUCY VICTOR JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (678) 887-9315

## Contact information

- **Practice address:** 915 SWEET MILL LN, LAWRENCEVILLE, GA 30045-6824
- **Practice address phone:** (678) 887-9315
- **Mailing address:** 915 SWEET MILL LN, LAWRENCEVILLE, GA 30045-6824
- **Mailing address phone:** (678) 887-9315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 067R1445 | GA | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016