Organization
JOHN LILLY GROVE HOME CARE LLC
Active
Other names
JLG
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SAMUELS (OWNER/ADMINISTRATOR)
(678) 438-6125
Entity
Organization
Contact information
Practice address
206 KINGS CT, PEACHTREE CITY, GA 30269-1010
(678) 438-6125
Mailing address
206 KINGS CT, PEACHTREE CITY, GA 30269-1010
(678) 438-6125
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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