# PERSONALIZED HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Personalized Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215264551
- **Authorized official:** MRS. DIANNE WEST (EXECUTIVE DIRECTOR/MANAGER)
- **Authorized official phone:** (314) 443-4803

## Contact information

- **Practice address:** 1940 GREENSBROOKE CLOSE, STONE MOUNTAIN, GA 30088-4434
- **Practice address phone:** (314) 443-4803
- **Practice address fax:** (770) 559-8792
- **Mailing address:** 1940 GREENSBROOKE CLOSE, STONE MOUNTAIN, GA 30088-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-0629 | GA | Yes |

## Other

- **Enumeration date:** 11/06/2009
- **Last updated:** 11/06/2009