# MARQUITA SHINES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** all season personal care home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871834846
- **Authorized official:** MS. MARQUITA SHUNTA SHINES (OWNER)
- **Authorized official phone:** (352) 653-0408

## Contact information

- **Practice address:** 55 HICKORY CIR, CARROLLTON, GA 30116-8692
- **Practice address phone:** (678) 601-3504
- **Mailing address:** 55 HICKORY CIR, CARROLLTON, GA 30116-8692
- **Mailing address phone:** (678) 601-3504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 03/15/2013
- **Last updated:** 03/15/2013