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Organization
EXCELLENT LIVING LLC
Active
Organization
EXCELLENT LIVING LLC
Active
Other names
Excellent Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMEL SHERROD JR. (CEO)
(313) 804-9556
Entity
Organization
Contact information
Practice address
133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916
(313) 804-9556
Mailing address
133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011657
NON SKILLED HOMECARE
GA
Enumeration date
08/22/2022
Last updated
08/22/2022
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