# HEALTHY LIVING HOME CARE

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

## Provider details

- **NPI number:** 1891238564
- **Authorized official:** MS. KEISHA L NELSON (PRESIDENT)
- **Authorized official phone:** (678) 308-4082

## Contact information

- **Practice address:** 1151 SILVERTON CT, AUSTELL, GA 30168-6128
- **Practice address phone:** (678) 308-4082
- **Mailing address:** 1151 SILVERTON CT, AUSTELL, GA 30168-6128
- **Mailing address phone:** (678) 308-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 055130440 | GA | Yes |
| 347C00000X | Private Vehicle | 055130440 | GA | — |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016
