# PHILPOT PERSONAL CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Residential Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689860256
- **Authorized official:** MRS. SHERYL ANN GLASS (ADMINISTRATOR)
- **Authorized official phone:** (404) 625-1688

## Contact information

- **Practice address:** 4760 CASCADE RD SW, ATLANTA, GA 30331-7348
- **Practice address phone:** (404) 625-1688
- **Practice address fax:** (404) 699-9807
- **Mailing address:** 4760 CASCADE RD SW, ATLANTA, GA 30331-7348
- **Mailing address phone:** (404) 625-1688
- **Mailing address fax:** (404) 699-9807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/18/2007