# ENERSED PERSONAL CARE HOME, INC

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

## Provider details

- **NPI number:** 1972754968
- **Authorized official:** MRS. DESRENE THOMPSON (PRESIDENT/CEO)
- **Authorized official phone:** (404) 288-8026

## Contact information

- **Practice address:** 3451 SPRINGRUN DR, DECATUR, GA 30032-6827
- **Practice address phone:** (404) 288-8026
- **Mailing address:** 3451 SPRINGRUN DR, DECATUR, GA 30032-6827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2008
- **Last updated:** 10/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000694053A | — | GA |
