# PERSONAL SENIOR HOME CARE, LLC

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

## Provider details

- **NPI number:** 1851009252
- **Authorized official:** TINA K JORDAN (OWNER/RN)
- **Authorized official phone:** (404) 606-8430

## Contact information

- **Practice address:** 981 LUTHER ST SE, ATLANTA, GA 30315-6923
- **Practice address phone:** (404) 606-8430
- **Mailing address:** 600 HIGHPOINT WAY, MCDONOUGH, GA 30253-4699
- **Mailing address phone:** (404) 606-8430

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 11/14/2022