SearchGeorgia343900000X

Jaylen Holmes

NPI 1053128637 · on the registry since 2024 · sole proprietor

Practice

Address
579 Simonton Oak Ln
Lawrenceville, GA 30045
Phone
(317) 476-1877
Organisation at this address
Serene Village Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia