Organization
JULIAN & JULIAN COMMUNITY SERVICE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SHAKIR (CEO)
(678) 913-6314
Entity
Organization
Contact information
Practice address
2151 FOUNTAIN DR STE 301, SNELLVILLE, GA 30078-6752
(678) 913-6314
(678) 913-6314
Mailing address
2151 FOUNTAIN DR STE 301, SNELLVILLE, GA 30078-6752
(678) 913-6314
(678) 913-6314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000123456789
—
GA
Enumeration date
04/06/2020
Last updated
04/06/2020
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