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Organization
MARIAC ENTERPRISES, LLC
Active
Organization
MARIAC ENTERPRISES, LLC
Active
Other names
BrightStar Care of Marietta
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAM EVANS (PRESIDENT)
(678) 290-7827
Entity
Organization
Contact information
Practice address
833 CAMPBELL HILL ST NW, SUITE 116, MARIETTA, GA 30060-1134
(678) 290-7827
(678) 290-7817
Mailing address
833 CAMPBELL HILL ST NW, SUITE 116, MARIETTA, GA 30060-1134
(678) 290-7827
(678) 290-7817
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
033-R-0452
GA
253Z00000X
In Home Supportive Care Agency
Primary
033-R-0452
GA
Other
Enumeration date
02/21/2011
Last updated
07/07/2014
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