# BRENDAS LOVE PERSONAL CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brendas Love PCH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356962062
- **Authorized official:** CASSANDRA MOTEN (OWNER)
- **Authorized official phone:** (404) 666-9802

## Contact information

- **Practice address:** 8239 QUEENS DR, JONESBORO, GA 30238-2946
- **Practice address phone:** (404) 655-9802
- **Mailing address:** 8762 EDENTON WAY, JONESBORO, GA 30238-4494
- **Mailing address phone:** (404) 655-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 09/06/2022