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Organization
CHELSEA PERSONAL CARE HOME, LLC
Active
Organization
CHELSEA PERSONAL CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA D THIOMPSON (CEO)
(404) 370-4144
Entity
Organization
Contact information
Practice address
2333 BROOKGATE WAY, ELLENWOOD, GA 30294-2398
(404) 370-4144
(404) 745-0239
Mailing address
2045 MOUNT ZION RD, #357, MORROW, GA 30260-3313
(404) 370-4144
(404) 745-0239
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
PCH008063
GA
320700000X
Physical Disabilities Residential Treatment Facility
PCH008063
GA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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