# LIVING HOPE RESIDENCE, LLC

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

## Provider details

- **NPI number:** 1972027316
- **Authorized official:** NELSON TENEBE (OWNER)
- **Authorized official phone:** (401) 241-7859

## Contact information

- **Practice address:** 6387 BIMINI DR, FOREST PARK, GA 30297-3447
- **Practice address phone:** (401) 241-7859
- **Mailing address:** 509 PLUMB BRANCH CT, MCDONOUGH, GA 30253-7585

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2017
- **Last updated:** 07/27/2017