Organization
MURIEL'S ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS RENEE THOMAS (PRESIDENT)
(678) 576-0189
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE, 300, MARIETTA, GA 30067-8613
(678) 576-0189
(770) 977-4097
Mailing address
1630 SONYA DR, MARIETTA, GA 30066-5730
(678) 576-0189
(770) 977-4097
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
033011931
GA
Other
Enumeration date
04/22/2008
Last updated
08/04/2015
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