# FOR LIFE HOME CARE LLC

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

## Provider details

- **NPI number:** 1407619984
- **Authorized official:** JADA NAHRI LAW (REGISTER NURSE)
- **Authorized official phone:** (912) 403-9810

## Contact information

- **Practice address:** 775 FIVE POINT RD, LYONS, GA 30436-3242
- **Practice address phone:** (912) 403-9810
- **Mailing address:** 246 ROBERT C DANIEL JR PKWY, AUGUSTA, GA 30909-0803
- **Mailing address phone:** (912) 403-9810

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2024
- **Last updated:** 02/06/2024