# JUST L HOME LLC

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

## Provider details

- **NPI number:** 1588969828
- **Authorized official:** MRS. VICTORIA BEATRICE SIMS (OWNER - SOLE MEMBER)
- **Authorized official phone:** (678) 523-7887

## Contact information

- **Practice address:** 1108 MITFORD LN, DACULA, GA 30019-7428
- **Practice address phone:** (770) 682-3439
- **Practice address fax:** (770) 682-3439
- **Mailing address:** 1108 MITFORD LN, DACULA, GA 30019-7428
- **Mailing address phone:** (770) 682-3439
- **Mailing address fax:** (770) 682-3439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 067-R0764 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 067-R0764 | GA | Yes |

## Other

- **Enumeration date:** 01/18/2011
- **Last updated:** 09/03/2012
