# GINA'S LOVE LLC.

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

## Provider details

- **NPI number:** 1902443393
- **Authorized official:** MRS. GINA KAY JOHNSON RN (CCO)
- **Authorized official phone:** (678) 505-0299

## Contact information

- **Practice address:** 779 BRASELTON HWY, LAWRENCEVILLE, GA 30043-4510
- **Practice address phone:** (816) 309-9733
- **Practice address fax:** (678) 404-7435
- **Mailing address:** 779 BRASELTON HWY, LAWRENCEVILLE, GA 30043-4510
- **Mailing address phone:** (816) 309-9733
- **Mailing address fax:** (678) 404-7435

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 12/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN232573 | GEORGIA BOARD OF NURSING | GA |