# MARIE'S PERSONAL HOME CARE

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

## Provider details

- **NPI number:** 1417696063
- **Authorized official:** MARIE BRUDENT (OWNER)
- **Authorized official phone:** (706) 615-1037

## Contact information

- **Practice address:** 5205 BUENA VISTA RD, COLUMBUS, GA 31907-5164
- **Practice address phone:** (706) 615-1037
- **Mailing address:** 204 DUPONT CT, MCDONOUGH, GA 30252-5844
- **Mailing address phone:** (478) 918-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 06/01/2022