Organization
LIFE AND LIVING COMPANION CARE LLC
Active
Other names
Life and Living Companion Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE E INGRAM (OWNER/ADMINISTRATOR)
(478) 250-1217
Entity
Organization
Contact information
Practice address
214 NORTHRIDGE DR, MACON, GA 31220-6639
(478) 508-2968
Mailing address
PO BOX 27071, MACON, GA 31221-7071
(478) 250-1217
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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