Organization
LILLIEMAE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEEKAH MONIQUE JOHNSON (ADMINISTRATOR/OWNER)
(912) 677-0565
Entity
Organization
Contact information
Practice address
31 LEON VILLAGE DR, SAVANNAH, GA 31408-2703
(912) 677-0565
Mailing address
31 LEON VILLAGE DR, SAVANNAH, GA 31408-2703
(912) 677-0565
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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