Organization
CIJ PRIVATE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CELESTINE YOUNG (ADMINISTRATOR)
(404) 660-1329
Entity
Organization
Contact information
Practice address
515 LANCE VIEW LN, LAWRENCEVILLE, GA 30045-8720
(404) 660-1329
Mailing address
515 LANCE VIEW LN, LAWRENCEVILLE, GA 30045-8720
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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