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Organization
JUST L HOME LLC
Active
Organization
JUST L HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA BEATRICE SIMS (OWNER - SOLE MEMBER)
(678) 523-7887
Entity
Organization
Contact information
Practice address
1108 MITFORD LN, DACULA, GA 30019-7428
(770) 682-3439
(770) 682-3439
Mailing address
1108 MITFORD LN, DACULA, GA 30019-7428
(770) 682-3439
(770) 682-3439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
067-R0764
GA
253Z00000X
In Home Supportive Care Agency
Primary
067-R0764
GA
Other
Enumeration date
01/18/2011
Last updated
09/03/2012
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