# TRINITY CARE HOME OF MARIETTA, LLC

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

## Provider details

- **NPI number:** 1215235296
- **Authorized official:** BERTONY BORNELUS BSW (ADMINSTRATOR)
- **Authorized official phone:** (850) 766-5208

## Contact information

- **Practice address:** 4150 LOWER ROSWELL RD, MARIETTA, GA 30068-4065
- **Practice address phone:** (770) 675-3117
- **Mailing address:** 4150 LOWER ROSWELL RD, MARIETTA, GA 30068-4065
- **Mailing address phone:** (770) 675-3117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 033013151 | GA | Yes |

## Other

- **Enumeration date:** 03/01/2011
- **Last updated:** 03/01/2011