# MARABLE'S HEART-TO-HEART PCH INC

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

## Provider details

- **NPI number:** 1275854515
- **Authorized official:** MR. ULYSSES MARABLE JR. (OWNER-DIRECTOR)
- **Authorized official phone:** (229) 263-6553

## Contact information

- **Practice address:** 83 CHURCH LANE, MARABLE'S HEART-TO-HEART PERSONAL CARE HOME INC., QUITMAN, GA 31643
- **Practice address phone:** (229) 263-6553
- **Practice address fax:** (229) 263-6553
- **Mailing address:** 83 CHURCH LANE, MARABLE'S HEART-TO-HEART PERSONAL CARE HOME INC., QUITMAN, GA 31643
- **Mailing address phone:** (229) 263-6553
- **Mailing address fax:** (229) 263-6553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 014-01-011-1 | GA | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 014-01-011-1 | GA | Yes |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 06/23/2010
