Organization
EXCELLENT LIVING LLC
Active
Other names
Excellent Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMEL SHERROD JR. (CEO)
(313) 804-9556
Entity
Organization
Contact information
Practice address
133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916
(313) 804-9556
Mailing address
133 ARNOLD PL UNIT B, JONESBORO, GA 30236-4916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP011657
NON SKILLED HOMECARE
GA
Enumeration date
08/22/2022
Last updated
08/22/2022
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