# EVERLASTING LIFE SENIOR CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Everlasting Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992554422
- **Authorized official:** MS. DELIA BARKSDALE (CEO)
- **Authorized official phone:** (770) 262-0319

## Contact information

- **Practice address:** 4519 BRONTE LN, DOUGLASVILLE, GA 30135-4967
- **Practice address phone:** (770) 262-0319
- **Mailing address:** PO BOX 5124, DOUGLASVILLE, GA 30154-0003
- **Mailing address phone:** (770) 262-0319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 05/16/2024