Organization
PERSONALIZED HOME HEALTH CARE, LLC
Active
Other names
Personalized Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE WEST (EXECUTIVE DIRECTOR/MANAGER)
(314) 443-4803
Entity
Organization
Contact information
Practice address
1940 GREENSBROOKE CLOSE, STONE MOUNTAIN, GA 30088-4434
(314) 443-4803
(770) 559-8792
Mailing address
1940 GREENSBROOKE CLOSE, STONE MOUNTAIN, GA 30088-4434
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-0629
GA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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