# JL COMMUNITY SERVICES, INC

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

## Provider details

- **NPI number:** 1942817036
- **Authorized official:** RICKI BLUETT (CEO)
- **Authorized official phone:** (678) 334-9592

## Contact information

- **Practice address:** 1585 JULIANNA DR, LOGANVILLE, GA 30052-7527
- **Practice address phone:** (678) 334-9592
- **Mailing address:** 1585 JULIANNA DR, LOGANVILLE, GA 30052-7527
- **Mailing address phone:** (678) 334-9592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 10/21/2020