Organization
MARIETTA SENIORS CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA VALENCIA POSADA (DIRECTOR)
(404) 707-1774
Entity
Organization
Contact information
Practice address
748 LAWRENCE ST NE, MARIETTA, GA 30060-2144
(404) 707-1774
Mailing address
748 LAWRENCE ST NE, MARIETTA, GA 30060-2144
(404) 707-1774
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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