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Organization

LONGLEAF HOMECARE, LLC

Active
Other names
Longleaf Residential
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JESSIE PETREA (OWNER)
(912) 661-3909
Entity
Organization

Contact information

Practice address
6602 ABERCORN ST STE 204, SAVANNAH, GA 31405-5849
(912) 661-3909
Mailing address
6602 ABERCORN ST STE 204, SAVANNAH, GA 31405-5849
(912) 661-3909

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
Primary
310400000X
Assisted Living Facility

Other

Enumeration date
10/14/2024
Last updated
05/02/2025
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