# CHELSEA PERSONAL CARE HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801183892
- **Authorized official:** MELISSA D THIOMPSON (CEO)
- **Authorized official phone:** (404) 370-4144

## Contact information

- **Practice address:** 2333 BROOKGATE WAY, ELLENWOOD, GA 30294-2398
- **Practice address phone:** (404) 370-4144
- **Practice address fax:** (404) 745-0239
- **Mailing address:** 2045 MOUNT ZION RD, \#357, MORROW, GA 30260-3313
- **Mailing address phone:** (404) 370-4144
- **Mailing address fax:** (404) 745-0239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | PCH008063 | GA | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | PCH008063 | GA | — |

## Other

- **Enumeration date:** 06/29/2011
- **Last updated:** 06/29/2011