| NPI | 1215792577 |
|---|---|
| Former Legal Business Name | FAITH LIVING LEGACY LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE JOHNSON Manager 678-650-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |