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Organization
TRINITY CARE HOME OF MARIETTA, LLC
Active
Organization
TRINITY CARE HOME OF MARIETTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTONY BORNELUS BSW (ADMINSTRATOR)
(850) 766-5208
Entity
Organization
Contact information
Practice address
4150 LOWER ROSWELL RD, MARIETTA, GA 30068-4065
(770) 675-3117
Mailing address
4150 LOWER ROSWELL RD, MARIETTA, GA 30068-4065
(770) 675-3117
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
033013151
GA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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