Organization
BRENDAS LOVE PERSONAL CARE HOME LLC
Active
Other names
Brendas Love PCH
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA MOTEN (OWNER)
(404) 666-9802
Entity
Organization
Contact information
Practice address
8239 QUEENS DR, JONESBORO, GA 30238-2946
(404) 655-9802
Mailing address
8762 EDENTON WAY, JONESBORO, GA 30238-4494
(404) 655-9802
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
GA
Enumeration date
05/04/2020
Last updated
09/06/2022
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