# JUMPSTART HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1992370571
- **Authorized official:** MRS. NICHOLE BENSON (OWNER)
- **Authorized official phone:** (678) 499-1102

## Contact information

- **Practice address:** 4153C FLAT SHOALS PKWY STE 324D, DECATUR, GA 30034-4863
- **Practice address phone:** (678) 499-1102
- **Practice address fax:** (678) 882-3825
- **Mailing address:** 3350 MILLERS POND WAY SW, SNELLVILLE, GA 30039
- **Mailing address phone:** (678) 499-1102
- **Mailing address fax:** (678) 882-3825

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2021
- **Last updated:** 05/25/2021
