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I have used Get Listed and a few other services to update my profiles for my company Health Care Associates (its a home health care agency). http:healthcareassociates.net. I have added pictures, categories, descriptions, key words, etc. and it doesn't seem to help. We are still not ranking in the search engines for "home care grand rapids", "home health care" etc. What else can I do to optimize the local search? Todd

I am trying to rank for "home care grand rapids" and am having a really difficult time. My site: http://healthcareassociates.net has better backlinks, keywords and other seo markers than my competitors but I still can't seem to rank. The keyword and associated keywords (home care grand rapids michigan, home health care grand rapids, etc.) are only 31-33% difficulty and my site/page rank is better than the leading sites. What gives? Todd