# EXCELLENT LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Excellent Living LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588382899
- **Authorized official:** MR. KAMEL SHERROD JR. (CEO)
- **Authorized official phone:** (313) 804-9556

## Contact information

- **Practice address:** 133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916
- **Practice address phone:** (313) 804-9556
- **Mailing address:** 133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 08/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHCP011657 | NON SKILLED HOMECARE | GA |