# JUSTIN HOMECARE SERVICES, INC

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

## Provider details

- **NPI number:** 1518385673
- **Authorized official:** MR. JOSEPH UGONNA (ADMINISTRATOR/OPERATIONS MANAGER)
- **Authorized official phone:** (404) 578-0379

## Contact information

- **Practice address:** 522 N MAIN ST, SUITE 104, CEDARTOWN, GA 30125-2372
- **Practice address phone:** (404) 578-0379
- **Mailing address:** 522 N MAIN ST, SUITE 104, CEDARTOWN, GA 30125-2372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 115-R-1095 | GA | Yes |

## Other

- **Enumeration date:** 04/04/2014
- **Last updated:** 04/04/2014