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Organization

MARION'S PERSONAL CARE HOME

Active
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Organization

MARION'S PERSONAL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERLYN KIRK (OWNER)
(404) 578-2615
Entity
Organization

Contact information

Practice address
942 PRESERVE PARK DR, LOGANVILLE, GA 30052-8315
(404) 578-2615
Mailing address
942 PRESERVE PARK DR, LOGANVILLE, GA 30052-8315
(404) 578-2615

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2010008278
GA

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
About Stedi
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