Organization
HEALTHY LIVING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA L NELSON (PRESIDENT)
(678) 308-4082
Entity
Organization
Contact information
Practice address
1151 SILVERTON CT, AUSTELL, GA 30168-6128
(678) 308-4082
Mailing address
1151 SILVERTON CT, AUSTELL, GA 30168-6128
(678) 308-4082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
055130440
GA
347C00000X
Private Vehicle
055130440
GA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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