Organization
PEACH STATE TRANSITIONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN G MARQUESS PHARMD, CDCES, FAPHA (OWNER/EMPLOYEE)
(678) 923-4263
Entity
Organization
Contact information
Practice address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 923-4263
Mailing address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 923-4263
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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