Organization
FAITH LIVING LEGACY LLC
Active
Other names
Faith Living Legacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE JOHNSON (MANAGER)
(678) 650-6282
Entity
Organization
Contact information
Practice address
715 BRONZE CT, ACWORTH, GA 30102-3706
(678) 650-6282
Mailing address
715 BRONZE CT, ACWORTH, GA 30102-3706
(678) 650-6282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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